Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review

Liao, Zhuan; Gao, Rui; Xu, Can; Li, Zhao‐Shen

doi:10.1016/j.gie.2009.09.031

Cited by 644 publications

(584 citation statements)

References 34 publications

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“…Recent studies have reported the rate of retention to be between 1.0% and 1.7% of patients undergoing the diagnostic procedure (1,2). Common factors that predispose individuals to device retention include Crohn's disease, neoplastic lesions, nonsteroidal antiinfl ammatory drug-induced enteropathy, stenosis, and adhesions (1).…”

Section: Discussionmentioning

confidence: 99%

Capsule Endoscopy Device Retention and Magnetic Resonance Imaging

Anderson

Liang²,

DeJesus³

2013

Baylor University Medical Center Proceedings

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Section: Discussionmentioning

confidence: 99%

Capsule Endoscopy Device Retention and Magnetic Resonance Imaging

Anderson

Liang²,

DeJesus³

2013

Baylor University Medical Center Proceedings

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“…Surgical exploration is the most frequent treatment for capsule retention at 58.7%. 1 However, balloon-assisted enteroscopy has now been shown to be an effective first-line treatment option that can prevent unnecessary surgery. 3,7,8 When capsule retention occurs in patients with CD, medication such as intravenous steroids and infliximab may promote the successful excretion of the retained capsule.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with pre-existing conditions such as Crohn's disease (CD), have a higher retention rate at 2.6%. 1 The retained capsule can be excreted spontaneously or after drug stimulation in a few cases, but the majority will need to be removed by surgical or endoscopic intervention including double-balloon enteroscopy (DBE). [1][2][3] This report presents a case of successful removal of retained CE causing intestinal obstruction by retrograde single-balloon enteroscopy (SBE) in a patient with CD.…”

Section: Introductionmentioning

confidence: 99%

Retained capsule endoscopy causing intestinal obstruction—Endoscopic retrieval by retrograde single-balloon enteroscopy

Xin

Liao²,

Du³

et al. 2012

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“…Although this approach could be considered a limitation, it has the benefit of permitting automated image analysis 37 for use in low-resource settings, and these quantitative results can be matched to the Marsh criteria (a classification based on the presence of intraepithelial lymphocytes, crypt hyperplasia and villous atrophy 38 ) that are used in conventional histological diagnosis of coeliac disease 37 . However, the risk of capsule retention is ~1% 33,39 , a potential complication that might need to be mitigated with tethered capsules or ingestible radio frequency identification tags for device localization 40 . Additionally, preliminary studies in adults would be required to compare capsule measurements to standard endoscopic assessments of villous atrophy.…”

Section: Biomarkers For Eedmentioning

confidence: 99%

The potential role of optical biopsy in the study and diagnosis of environmental enteric dysfunction

Thompson

Hughes

Anastasova

et al. 2017

Nat Rev Gastroenterol Hepatol

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| Environmental enteric dysfunction (EED) is a disease of the small intestine affecting children and adults in low and middle income countries. Arising as a consequence of repeated infections, gut inflammation results in impaired intestinal absorptive and barrier function, leading to poor nutrient uptake and ultimately to stunting and other developmental limitations. Progress towards new biomarkers and interventions for EED is hampered by the practical and ethical difficulties of cross-validation with the gold standard of biopsy and histology. Optical biopsy techniques -which can provide minimally invasive or noninvasive alternatives to biopsy -could offer other routes to validation and could potentially be used as point-of-care tests among the general population. This Consensus Statement identifies and reviews the most promising candidate optical biopsy technologies for applications in EED, critically assesses them against criteria identified for successful deployment in developing world settings, and proposes further lines of enquiry. Importantly, many of the techniques discussed could also be adapted to monitor the impaired intestinal barrier in other settings such as IBD, autoimmune enteropathies, coeliac disease, graft-versus-host disease, small intestinal transplantation or critical care. Members of the board and experts met to discuss the horizon scan in London, UK, in November 2015 and San Francisco, USA, in February 2016. Literature searches were performed using Web of Science, as well as through the advice of the advisory board and experts. The results of the horizon scan are presented in this Consensus Statement, which entails a review of EED, a discussion of technologies deemed relevant to EED (based on literature searches and the opinions of the advisory board and experts), and a series of recommendations for the future application of the rele vant technologies to the study and diagnosis of EED. In the Recommendations section, each technology has been assessed according to its suitability for application to EED and this assessment includes an evaluation of the cost, invasiveness and appropriateness for developing countries of each device and/or technique. This assessment was performed in a qualitative manner based on currently available information (for example, the present cost and size of the devices) and the opinions of the authors as to feasible future develop ment. Technique suitability for use in developing countries was determined in a qualitative manner after consideration of the need for advanced infrastructure and high levels of training for either system use or data analysis. Probable deployment time scales have also been assigned to each technique based on the current states of development and the degree of valid ation work that will be required before application to EED. These timescales have been tentatively defined as short-term (suitable for deployment immediately or within ~1 year), mediumterm (suit able for deployment within ~1-3 years) and long-term (suitable for deployme...

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Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review

Cited by 644 publications

References 34 publications

Capsule Endoscopy Device Retention and Magnetic Resonance Imaging

Capsule Endoscopy Device Retention and Magnetic Resonance Imaging

Retained capsule endoscopy causing intestinal obstruction—Endoscopic retrieval by retrograde single-balloon enteroscopy

The potential role of optical biopsy in the study and diagnosis of environmental enteric dysfunction

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