Structured Terminology for Capsule Endoscopy: Results of Retrospective Testing and Validation in 766 Small-Bowel Investigations

Delvaux, Michel; Friedman, S.; Keuchel, Martin; Hagenmüller, F; Weinstein, Mark D.; Cave, David R.; Franchis, Roberto de; Korman, Louis Y.

doi:10.1055/s-2005-870266

Cited by 37 publications

(24 citation statements)

References 4 publications

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“…14,[16][17][18] However, caution will still be required when using findings on CE as the primary means of making a diagnosis of small-intestine CD. Interobserver agreement in the reporting of minor mucosal abnormalities representing CD is at best fair.…”

Section: Role Of Ce In Suspected CDmentioning

confidence: 98%

Capsule endoscopy for small-bowel evaluation in Crohn's disease

Doherty

Moss

Cheifetz

2011

Gastrointestinal Endoscopy

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Section: Role Of Ce In Suspected CDmentioning

confidence: 98%

Capsule endoscopy for small-bowel evaluation in Crohn's disease

Doherty

Moss

Cheifetz

2011

Gastrointestinal Endoscopy

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“…The use of a capsule endoscopy structured terminology has been suggested in order to improve interobserver agreement in CE reporting 42 43. However, this can be time consuming and cumbersome to perform and moderate variation is still noted even among experts 44…”

Section: Practical Considerationsmentioning

confidence: 99%

Practical aspects of delivering a small bowel endoscopy service in the UK

Hale

Davison

Panter

et al. 2015

Frontline Gastroenterol

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Capsule endoscopy remains at the forefront of small bowel investigation, offering the only non-invasive means of directly imaging the mucosa of the small bowel. Recommended for the investigation of obscure gastrointestinal bleeding, Crohn's disease, coeliac disease, small bowel tumours and hereditary polyposis syndromes, the uptake of small bowel capsule endoscopy has been widespread in the UK. However, despite a wealth of published literature supporting the utility of capsule endoscopy in clinical practice, there are limited data regarding the actual practical aspects of service delivery, training and quality assurance. In this article, we attempt to address this by considering specific factors that contribute to provision of a high-quality capsule service. The role of formal training, accreditation and quality assurance measures is also discussed.

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“…Significant findings were recorded by thumbnail images and described using standardized terminology. 14,15 Data analysis was performed in two different ways: diagnostic yield and lesion detection rate. Diagnostic yield was defined as the ratio of the number of cases with suspected or definite small bowel findings responsible for OGIB to the number of all cases examined.…”

Section: Discussionmentioning

confidence: 99%

Does Back-To-Back Capsule Endoscopy Increase the Diagnostic Yield over a Single Examination in Patients with Obscure Gastrointestinal Bleeding?

Min

Chang²,

Kim³

et al. 2010

Gut Liver

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Background/Aims: Video capsule endoscopy (CE) can provide a negative result despite the presence of clinically significant small-bowel lesions. We therefore performed a prospective study to elucidate whether repeated back-to-back CE increases the diagnostic yield over a single CE in patients with obscure gastrointestinal bleeding (OGIB). Methods: Sixteen patients with OGIB were prospectively enrolled and underwent back-to-back CE investigation with a 24-hour interval. All CE videos were interpreted by two experienced readers at a maximum 15 frames/second in a random order. Results: The diagnostic yield of the single CE was 37.5% for the first CE, 43.8% for the second CE, and 62.5% for the back-to-back CE. The overall mean lesion-detection rates of the first and second CEs were 42.2% and 64.6%, respectively. The bowel preparation status of the second CE was improved in 37.5% and unchanged in 62.5% of cases as compared with that of the first CE. Conclusions: These results indicate that back-to-back CE may increase the diagnostic yield and lesion-detection rate over a single CE in patients with OGIB. Therefore, if the first CE is not diagnostic in a patient with OGIB, repeat back-to-back CE may be considered as a candidate for further workup. (Gut Liver 2010;4:54-59)

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Structured Terminology for Capsule Endoscopy: Results of Retrospective Testing and Validation in 766 Small-Bowel Investigations

Cited by 37 publications

References 4 publications

Capsule endoscopy for small-bowel evaluation in Crohn's disease

Capsule endoscopy for small-bowel evaluation in Crohn's disease

Practical aspects of delivering a small bowel endoscopy service in the UK

Does Back-To-Back Capsule Endoscopy Increase the Diagnostic Yield over a Single Examination in Patients with Obscure Gastrointestinal Bleeding?

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