2009
DOI: 10.1016/j.dld.2009.02.002
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Optical coherence tomography in pediatric patients: A feasible technique for diagnosing celiac disease in children with villous atrophy

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Cited by 23 publications
(12 citation statements)
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“…OCT, with its capability to image entire luminal organs, can change this equation by comprehensively imaging large regions of the duodenum to assess villous blunting without the sampling error that is inherent in endoscopic biopsy [146]. Indeed, a recent study showed that OCT has a sensitivity and specificity of 82% and 100% [147], respectively, compared to histology, adding further evidence for its potential to improve our capacity to obtain a tissue diagnosis of celiac disease.…”
Section: Gastrointestinal Tractmentioning
confidence: 99%
“…OCT, with its capability to image entire luminal organs, can change this equation by comprehensively imaging large regions of the duodenum to assess villous blunting without the sampling error that is inherent in endoscopic biopsy [146]. Indeed, a recent study showed that OCT has a sensitivity and specificity of 82% and 100% [147], respectively, compared to histology, adding further evidence for its potential to improve our capacity to obtain a tissue diagnosis of celiac disease.…”
Section: Gastrointestinal Tractmentioning
confidence: 99%
“…Sensitivity and specificity were 82% and 100%, respectively. The overall concordance between optical coherence tomography and histology in determining patchy lesions was 75% [66].…”
Section: Optical Coherence Tomographymentioning
confidence: 99%
“…These features are neither sensitive nor specific enough to be used as screening tools during endoscopy 40,42,45,46. Endoscopic clues to villous atrophy may also indicate the need for biopsies or also provide direction for targeted biopsies 41…”
Section: Diagnosismentioning
confidence: 99%
“…Optical coherence tomography combines ultrasound and infrared back-scattering light to visualize the mucosa and submucosa with a sensitivity and specificity of 82% and 100%, respectively 46. Like endocytoscopy, optical coherence tomography is limited in its inability to assess hypertrophic crypts and intraepithelial lymphocyte count 46…”
Section: Diagnosismentioning
confidence: 99%