Improved detectability of small-bowel lesions via capsule endoscopy with computed virtual chromoendoscopy: A pilot study
2011

Improved Detection of Small-Bowel Lesions with Capsule Endoscopy

Sample size: 50 publication Evidence: moderate

Author Information

Author(s): Imagawa Hiroki, Oka Shiro, Tanaka Shinji, Noda Ikue, Higashiyama Makoto, Sanomura Youji, Shishido Takayoshi, Yoshida Shigeto, Chayama Kazuaki

Primary Institution: Hiroshima University

Hypothesis

FICE would augment CE of the small bowel in such a way that would improve both detection and diagnosis of small-bowel lesions.

Conclusion

CE-FICE is superior in lesion detection compared to conventional CE, particularly for angioectasias.

Supporting Evidence

  • CE-FICE detected 48 angioectasias at setting 1 compared to 17 by conventional CE.
  • Significant differences in angioectasia detection were found at settings 1 and 2.
  • Visualization of the entire small bowel was achieved in 74% of cases.

Takeaway

This study shows that a special imaging technique helps doctors find more small problems in the intestines using a tiny camera.

Methodology

A total of 55 patients underwent capsule endoscopy, with 50 included in the analysis comparing conventional CE and CE-FICE.

Limitations

Five patients were excluded due to insufficient evaluation from residues and transit delays.

Participant Demographics

25 men and 25 women, average age 59.6 years.

Statistical Information

P-Value

p = 0.0003, p < 0.0001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3109/00365521.2011.584899

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