Magnetically Controlled Capsule Endoscopy in Children

Gu, Zhujun; Wang, Yizhong; Lin, Kai Hsin; Wang, Xing; Cheng, Weiwei; Zhang, Ting; Liu, Haifeng

doi:10.1097/mpg.0000000000002292

Cited by 8 publications

(8 citation statements)

References 14 publications

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“…Gu et al first reported a study of magnetically controlled capsule endoscopy (MCE) examination in children. They showed that MCE is feasible and safe in children older than 6 years (20). Randomized prospective studies are needed to further investigate the efficacy of endoscopy types in children.…”

Section: Discussionmentioning

confidence: 99%

Upper Gastrointestinal Endoscopy in Pediatric Surgical Practice

Güney¹,

Fakıoğlu²,

Demir³

2021

Turkish Journal of Pediatric Disease

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Objective: We aimed to focus descriptively and comparatively on the children with esophageal disorders requiring endoscopy: demographics, indications, methods, complications and outcomes. Material and Methods:The records of the children with esophageal disorders indicative of endoscopy between January 2005 and February 2020 at the department of pediatric surgery of a tertiary health care center were reviewed in terms of demographic, etiological, technical aspects; including the comparison of flexible endoscopy (FE) and rigid endoscopy (RE).Results: Endoscopy was indicated in a total of 242 children for foreign body ingestion (n=70, 28.9%), caustic ingestion (n=89, 36.8%), esophageal stricture (n=52, 21.5%) and other rare conditions (n=31, 12.8%). Fourty two of them did not undergo endoscopy, because their caregivers did not consent. Of the rest; 102 (42.1%) underwent RE, and 98 (40.5%) underwent FE. The mean age was 36.4±35.7 months. No statistically significant difference was detected between the mean ages of RE and FE groups (33.3±32.1 vs. 33.7±24.9 months, p=0.918). Most of the patients who underwent FE were significantly males (52% in FE group, 39.2% in RE group, p=0.046). Complication rate was 6.9% in RE group and no complication was detected in FE group (p=0.008). The difference of failure rates of the groups was statistically insignificant (3.9% in RE vs 0 in FE, p=0.066). Conclusion:Both rigid and flexible endoscopy techniques are effective and safe for diagnostic or therapeutic esophageal interventions. Although each has its own advantages an disadvantages, performing rigid endoscopy takes a slightly but significantly higher risk of complication.

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Section: Discussionmentioning

confidence: 99%

Upper Gastrointestinal Endoscopy in Pediatric Surgical Practice

Güney¹,

Fakıoğlu²,

Demir³

2021

Turkish Journal of Pediatric Disease

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“…tion without significant adverse events. 60 Several studies have confirmed the safe application of MCCG in the elderly (>60 years of age), 40,54,57,61 in which the eldest participant reported was up to 94 years of age. 40 It is worth noting that adverse events, such as capsule retention and aspiration, are more likely to occur in the elderly.…”

Section: Level Of Evidence: Moderatementioning

confidence: 92%

“…There has been accumulating evidence for a safe application of MCCG in children and the elderly, and in 2017 the China's National Medical Products Administration (NMPA) approved MCCG (NaviCam) use in children over 8 years of age. A single‐center retrospective study showed that 129 children (6–14 years of age) successfully completed the MCCG (NaviCam) examination without significant adverse events 60 . Several studies have confirmed the safe application of MCCG in the elderly (>60 years of age), 40,54,57,61 in which the eldest participant reported was up to 94 years of age 40 .…”

Section: Clinical Application Of Mccg Among Different Populationsmentioning

confidence: 99%

Clinical guideline on magnetically controlled capsule gastroscopy (2021 edition)

Jiang

Pan

Qian

et al. 2023

J of Digest Diseases

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With the development and generalization of endoscopic technology and screening, clinical application of magnetically controlled capsule gastroscopy (MCCG) has been increasing. In recent years, various types of MCCG are used globally. Therefore, establishing relevant guidelines on MCCG is of great significance. The current guidelines containing 23 statements were established based on clinical evidence and expert opinions, mainly focus on aspects including definition and diagnostic accuracy, application population, technical optimization, inspection process, and quality control of MCCG. The level of evidence and strength of recommendations were evaluated. The guidelines are expected to guide the standardized application and scientific innovation of MCCG for the reference of clinicians.

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“…Among them, most of the gastric preparation techniques were performed according to the guidelines for bowel preparation before examination. [6][7][8][9] Studies on the detection of gastric tumors and cancer using MCCE were mainly based on the small sample size. Jiang et al 17 found gastric cancer only in 1 of 80 subjects using the second-generation system NaviCam.…”

Section: Ability Of Mcce To Detect Gastrointestinal Diseasesmentioning

confidence: 99%

A systematic review on diagnosis and treatment of gastrointestinal diseases by magnetically controlled capsule endoscopy and artificial intelligence

Wang,

Hu,

et al. 2023

Therap Adv Gastroenterol

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Background: Magnetically controlled capsule endoscopy (MCCE) is a non-invasive, painless, comfortable, and safe equipment to diagnose gastrointestinal diseases (GID), partially overcoming the shortcomings of conventional endoscopy and wireless capsule endoscopy (WCE). With advancements in technology, the main technical parameters of MCCE have continuously been improved, and MCCE has become more intelligent. Objectives: The aim of this systematic review was to summarize the research progress of MCCE and artificial intelligence (AI) in the diagnosis and treatment of GID. Data Sources and Methods: We conducted a systematic search of PubMed and EMBASE for published studies on GID detection of MCCE, physical factors related to MCCE imaging quality, the application of AI in aiding MCCE, and its additional functions. We synergistically reviewed the included studies, extracted relevant data, and made comparisons. Results: MCCE was confirmed to have the same performance as conventional gastroscopy and WCE in detecting common GID, while it lacks research in detecting early gastric cancer (EGC). The body position and cleanliness of the gastrointestinal tract are the main factors affecting imaging quality. The applications of AI in screening intestinal diseases have been comprehensive, while in the detection of common gastric diseases such as ulcers, it has been developed. MCCE can perform some additional functions, such as observations of drug behavior in the stomach and drug damage to the gastric mucosa. Furthermore, it can be improved to perform a biopsy. Conclusion: This comprehensive review showed that the MCCE technology has made great progress, but studies on GID detection and treatment by MCCE are in the primary stage. Further studies are required to confirm the performance of MCCE.

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Magnetically Controlled Capsule Endoscopy in Children

Cited by 8 publications

References 14 publications

Upper Gastrointestinal Endoscopy in Pediatric Surgical Practice

Upper Gastrointestinal Endoscopy in Pediatric Surgical Practice

Clinical guideline on magnetically controlled capsule gastroscopy (2021 edition)

A systematic review on diagnosis and treatment of gastrointestinal diseases by magnetically controlled capsule endoscopy and artificial intelligence

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