The utility of capsule endoscopy and its role for diagnosing pathology in the gastrointestinal tract

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

“…5,6-10 Retention rates reported in the large sample size studies ranged from 0 to 2.4%. 3,[4][5][6][7][8][9][10]25 The risk of retention is high in patients with prolonged nonsteroidal anti-inflammatory drug use, abdominal radiation injury, extensive CD, 35 and previous major abdominal surgery or small-bowel resection. 36 In a recent large study evaluating the capsule retention, Li et al 3 found that the retention rate was 1.4%, the same as the pooled rate of this review, but the most common reason in their study was nonsteroidal anti-inflammatory drug-induced enteropathy (11 of 14), whereas CD was the most common reason in Other included capsule endoscopes that remained in the GI tract at the time of the article preparation (n Z 2), laparoscopically removed (n Z 1), and vomited out (n Z 1).…”

“…[4][5][6][7][8][9][10]29 The several factors account for incomplete examination, of which battery exhaustion is the most common reason, followed by capsule retention, technical failure, and poor small-bowel preparation. [4][5][6][7][8][9][10]25,29 Battery exhaustion can easily occur in patients with delayed gastric emptying, with the capsule failing to enter the duodenum or remaining in the stomach for more than 1.5 hours. Therefore, efforts should be made to identify patients who are more likely to have delayed gastric emptying.…”

“…17 Detection rates of CE for OGIB in the large sample size studies (O100) were 41.6% to 61.4%, and the completion and capsule retention rates were 56.0% to 88.1% and 0 to 5%, respectively. 4,[18][19][20][21][22][23][24][25] Angiodysplasia and inflammatory/ulcers were the main findings of CE procedures for OGIB, with angiodysplasias accounting for nearly half of patients who underwent CE for OGIB. CE has been shown to be superior to small-bowel barium radiography, colonoscopy with ileoscopy, and CT in detecting CD.…”

“…[4][5][6][7][8][9][10] Accurate assessments of these parameters are apparently essential and beneficial to the physicians and patients who need to undergo CE. Therefore, we performed this systematic review of global literature to provide current state-ofthe-art data on the number and type of CE-related publications, the indications, the detection, completion, and retention rates, and the consequence of retained capsules in evaluating small-bowel diseases.…”

Incomplete capsule endoscopy examinations after Roux-en-Y gastric bypass

“…Study completion rates vary based on the indication, with the higher end approaching 80-85% [1]. Several factors such as inadequate battery life in the setting of delayed gastrointestinal (GI) transit, poor SB preparation and capsule retention have been cited as primary reasons for incomplete examinations [2][3][4][5][6][7][8][9][10].…”