Full Text:   <1755>

CLC number: R57

On-line Access: 

Received: 2008-01-25

Revision Accepted: 2008-06-21

Crosschecked: 0000-00-00

Cited: 26

Clicked: 3466

Citations:  Bibtex RefMan EndNote GB/T7714

-   Go to

Article info.
1. Reference List
Open peer comments

Journal of Zhejiang University SCIENCE B 2008 Vol.9 No.11 P.857~862

http://doi.org/10.1631/jzus.B0820034


OMOM capsule endoscopy in diagnosis of small bowel disease


Author(s):  Chen-yi LI, Bing-ling ZHANG, Chun-xiao CHEN, You-ming LI

Affiliation(s):  Department of Gastroenterology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China

Corresponding email(s):   56622000@163.com

Key Words:  OMOM capsule endoscopy (CE), Small bowel disease, Obscure gastrointestinal bleeding (OGIB), Diagnosis


Chen-yi LI, Bing-ling ZHANG, Chun-xiao CHEN, You-ming LI. OMOM capsule endoscopy in diagnosis of small bowel disease[J]. Journal of Zhejiang University Science B, 2008, 9(11): 857~862.

@article{title="OMOM capsule endoscopy in diagnosis of small bowel disease",
author="Chen-yi LI, Bing-ling ZHANG, Chun-xiao CHEN, You-ming LI",
journal="Journal of Zhejiang University Science B",
volume="9",
number="11",
pages="857~862",
year="2008",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B0820034"
}

%0 Journal Article
%T OMOM capsule endoscopy in diagnosis of small bowel disease
%A Chen-yi LI
%A Bing-ling ZHANG
%A Chun-xiao CHEN
%A You-ming LI
%J Journal of Zhejiang University SCIENCE B
%V 9
%N 11
%P 857~862
%@ 1673-1581
%D 2008
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0820034

TY - JOUR
T1 - OMOM capsule endoscopy in diagnosis of small bowel disease
A1 - Chen-yi LI
A1 - Bing-ling ZHANG
A1 - Chun-xiao CHEN
A1 - You-ming LI
J0 - Journal of Zhejiang University Science B
VL - 9
IS - 11
SP - 857
EP - 862
%@ 1673-1581
Y1 - 2008
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B0820034


Abstract: 
Objective: To assess the diagnostic efficiency of OMOM capsule endoscopy (CE) in a group of patients with different indications. Methods: Data from 89 consecutive patients (49 males, 40 females) with suspected small bowel disease who underwent OMOM CE (Jinshan Science and Technology Company, Chongqing, China) examination were obtained by retrospective review. The patients’ indications of the disease consisted of the following: obscure gastrointestinal bleeding (OGIB), abdominal pain or diarrhea, partial intestinal obstruction, suspected inflammatory bowel disease, tumor of unknown origin, hypoproteinemia, constipation, weight loss, and elevated tumor markers. Results: CE failed in one patient. Visualization of the entire small bowel was achieved in 75.0%. Capsules were naturally excreted by all patients. The detection rate of abnormalities was 70.5% for patients with suspected small bowel disease, and the diagnostic yield for patients with OGIB was higher than that for patients with abdominal pain or diarrhea (85.7% vs 53.3%, P<0.005). Angiodysplasia was the most common small bowel finding. Active bleeding sites were noted in the small intestine in 11 cases. Conclusion: OMOM CE is a useful diagnostic tool for the diagnosis of variably suspected small bowel disease, whose diagnostic efficiency is similar to that of the Pillcam SB (small bowel) CE (Given Imaging, Yoqneam, Israel).

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

[1] AGA (American Gastroenterological Association), 2000. American gastroenterological association medical position statement: evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology, 118(1):197-201.

[2] Bailey, A.A., Debinski, H.S., Appleyard, M.N., Remedios, M.L., Hooper, J.E., Walsh, A.J., Selby, W.S., 2006. Diagnosis and outcome of small bowel tumors found by capsule endoscopy: a three-center Australian experience. Am. J. Gastroenterol., 101(10):2237-2243.

[3] Carey, E.J., Leithton, J.A., Heith, R.I., Shiff, A.D., Sharma, V.K., Post, J.K., Fleischer, D.E., 2007. A single-center experience of 260 consecutive patients undergoing capsule endoscopy for obscure gastrointestinal bleeding. Am. J. Gastroenterol., 102(1):89-95.

[4] Cheifetz, A.S., Lewis, B.S., 2006. Capsule endoscopy retention: is it a complication? J. Clin. Gastroenterol., 40(8):688-691.

[5] Costamagna, G., Shah, S.K., Riccioni, M.E., Foschia, F., Mutignani, M., Perri, V., Vecchioli, A., Brizi, M.G., Picciocchi, A., Marano, P., 2002. A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease. Gastroenterology, 123(4):999-1005.

[6] de Franchis, R., Rondonotti, E., Abbiati, C., Beccari, G., Signorelli, C., 2004. Small bowel malignancy. Gastrointest. Endosc. Clin. N. Am., 14(1):139-148.

[7] Ell, C., Remke, S., May, A., Helou, L., Henrich, R., Mayer, G., 2002. The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding. Endoscopy, 34(9):685-689.

[8] Ersoy, O., Sivri, B., Arslan, S., Batman, F., Bayraktar, Y., 2006. How much helpful is the capsule endoscopy for the diagnosis of small bowel lesions? World J. Gastroenterol., 12(24):3906-3910.

[9] Fireman, Z., Paz, D., Kopelman, Y., 2005. Capsule endoscopy: improving transit time and image view. World J. Gastroenterol., 11(37):5863-5866.

[10] Hara, A.K., Leighton, J.A., Sharma, V.K., Fleischer, D.E., 2004. Small bowel: preliminary comparison of capsule endoscopy with barium study and CT. Radiology, 230(1):260-265.

[11] Kalantzis, C., Apostolopoulos, P., Mavrogiannis, P., Theodorou, D., Papacharalampous, X., Bramis, I., Kalantzis, N., 2007. Capsule endoscopy retention as a helpful tool in the management of a young patient with suspected small-bowel disease. World J. Gastroenterol., 13(8):1289-1291.

[12] Leung, W.K., Chan, F.K., Fung, S.S., Wong, M.Y., Sung, J.J., 2005. Effect of oral erythromycin on gastric and small bowel transit time of capsule endoscopy. World J. Gastroenterol., 11(31):4865-4868.

[13] Li, X.B., Ge, Z.Z., Dai, J., Gao, Y.J., Liu, W.Z., Hu, Y.B., Xiao, S.D., 2007. The role of capsule endoscopy combined with double-balloon enteroscopy in diagnosis of small bowel diseases. Chin. Med. J., 120(1):30-35.

[14] Matas, J.L., Asteinza, M., Loscos, J.M., Fernandez, S., Ramirez-Armengol, J.A., Diaz-Rubio, M., 2006. Diagnostic yield and safety of capsule endoscopy. Rev. Esp. Enferm. Dig., 98(9):666-673.

[15] Moglia, A., Menciassi, A., Schurr, M.O., Dario, P., 2007. Wireless capsule endoscopy: from diagnostic devices to multipurpose robotic systems. Biomed. Microdevices, 9(2):235-243.

[16] Mylonaki, M., Fritscher-Ravens, A., Swain, P., 2003. Wireless capsule endoscopy: a comparison with push enteroscopy in patients with gastroscopy and colonoscopy negative gastrointestinal bleeding. Gut, 52(8):1122-1126.

[17] Pennazio, M., Santucci, R., Rondonotti, E., Abbiati, C., Beccari, G., Rossini, F.P., Franchis, R.D., 2004. Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases. Gastroenterology, 126(3):643-653.

[18] Schwartz, G.D., Barkin, J.S., 2007. Small-bowel tumors detected by wireless capsule endoscopy. Dig. Dis. Sci., 52(4):1026-1030.

[19] Sidhu, R., Sanders, D.S., McAlindon, M.E., 2006. Gastrointestinal capsule endoscopy: from tertiary centres to primary care. BMJ, 332(7540):528-531.

[20] Sturniolo, G.C., di Leo, V., Vettorato, M.G., de Boni, M., Lamboglia, F., de Bona, M., Bellumat, A., Martines, D., D′Inca, R., 2006. Small bowel exploration by wireless capsule endoscopy: results from 314 procedures. Am. J. Med., 119(4):341-347.

Open peer comments: Debate/Discuss/Question/Opinion

<1>

Please provide your name, email address and a comment





Journal of Zhejiang University-SCIENCE, 38 Zheda Road, Hangzhou 310027, China
Tel: +86-571-87952783; E-mail: cjzhang@zju.edu.cn
Copyright © 2000 - Journal of Zhejiang University-SCIENCE