Year 2023 / Volume 115 / Number 3
Original
Predictive value of patency capsule and magnetic resonance enterography for capsule endoscopy retention in patients with established Crohn’s disease

110-114

DOI: 10.17235/reed.2022.8848/2022

Gerardo Blanco Velasco, Jonathan Ramos-García, Luis Fernando García-Contreras, Omar Michel Solórzano-Pineda, Claudia Martínez-Camacho, Enrique Murcio-Pérez, Óscar Víctor Hernández-Mondragón,

Abstract
Introduction: retention is the most common adverse event of the small bowel capsule endoscopy procedure. Patency capsule (Medtronic, Dublin, Ireland) and magnetic resonance enterography are two diagnostic methods that can prevent small bowel capsule endoscopy retention. The aim of this study was to evaluate the predictive value of these two diagnostic methods. Material and methods: a prospective, comparative and observational study was performed in patients with established Crohn’s disease. All patients had undergone magnetic resonance enterography and patency capsule procedures. If the patency capsule was not retained, the patient underwent a small bowel capsule endoscopy; otherwise, double balloon enteroscopy was performed to locate the stenosis. Magnetic resonance enterography predictive criteria for retention were analyzed in all cases. Sensitivity, specificity, positive predictive value and negative predictive value of the patency capsule and magnetic resonance enterography compared to small bowel capsule endoscopy or double balloon enteroscopy were calculated. Results: forty patients were included (24 female, 55 ± 13 years old). Retention criteria with capsule endoscopy or double balloon enteroscopy were found in six patients, agreeing in five cases with patency capsule and in three cases with magnetic resonance enterography. Sensitivity, specificity, positive predictive value, negative predictive value and Kappa coefficient for predicting retention with the patency capsule were 83 %, 100 %, 100 % and 97 %, respectively, and 50 %, 91 %, 50 % and 91 %, respectively, with magnetic resonance enterography. Conclusions: patency capsule has a higher sensitivity and positive predictive value than magnetic resonance enterography for preventing small bowel capsule endoscopy retention in Crohn’s disease patients.
Share Button
New comment
Comments
No comments for this article
References
1. Prichard DO, Hamilton Z, Savage T, et al. Capsule Endoscopy Complements Magnetic Resonance Enterography and Endoscopy in Evaluating Small Bowel Crohn's Disease. J Can Assoc Gastroenterol 2019;3:279-87.
2. Cortegoso Valdivia P, Skonieczna-Żydecka K, Elosua A, et al. Indications, detection, completion and retention rates of capsule endoscopy in two decades of use: A systematic review and meta-analysis. Diagnostics 2022,12,1105.
3. Cave D, Legnani P, de Franchis R, Lewis BS. ICCE consensus for capsule retention. Endoscopy 2005;37:1065–7.
4. Mitselos IV, Katsanos KH, Tsianos EV, et al. Clinical Use of Patency Capsule: A Comprehensive Review of the Literature. Inflamm Bowel Dis 2018;24:2339-47.
5. Rezapour M, Amadi C , Gerson LB. Retention associated with video capsule endoscopy: systematic review and meta-analysis. Gastrointest Endosc 2017;85:1157-68.
6. Spada C, McNamara D, Despott EJ, et al. Performance measures for small-bowel endoscopy: A European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. United European Gastroenterol J 2019;7:614-41.
7. Adverse events of video capsule endoscopy over the past two decades: a systematic review and proportion meta-analysis. BMC Gastroenterol 2020;20:364.
8. Ahmed O, Rodrigues DM, Nguyen GC. Magnetic Resonance Imaging of the Small Bowel in Crohn's Disease: A Systematic Review and Meta-Analysis. Can J Gastroenterol Hepatol 2016;2016:7857352.
9. Liu W, Liu J, Xiao W, et al. A Diagnostic Accuracy Meta-analysis of CT and MRI for the Evaluation of Small Bowel Crohn Disease. Acad Radiol 2017;24:1216-25.
10. Pasha SF, Pennazio M, Rondonotti E, et al. Capsule Retention in Crohn's Disease: A Meta-analysis. Inflamm Bowel Dis 2020;26:33-42.
11. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159–74.
12. Panes J, Bouhnik Y, Reinisch W, et al.Imaging techniques for assessment of inflammatory bowel disease: joint ECCO and ESGAR evidence-based consensus guidelines. J Crohns Colitis 2013;7:556-85
13. Nemeth A, Kopylov U, Koulaouzidis A, et al. Use of patency capsule in patients with established Crohn's disease. Endoscopy 2016;48:373-9. DOI:10.1055/s-0034-1393560
14. Blanco-Velasco G, Ramos-García J, Zamarripa-Mottú R, et al. Symptomatic patency capsule retention in a patient with confirmed Crohn's disease.Rev Gastroenterol Mex. 2020;85:370-2.
15. Albuquerque A, Cardoso H, Marques M, et al. Predictive factors of small bowel patency in Crohn's disease patients. Rev Esp Enferm Dig 2016;108:65-70. DOI:10.17235/reed.2015.3957/2015
16. Lahat A, Veisman I. Capsule Endoscopy in Crohn's Disease-From a Relative Contraindication to Habitual Monitoring Tool. Diagnostics (Basel) 2021;11:1737.
17. Gajendran M, Loganathan P, Catinella AP, et al. A comprehensive review and update on Crohn's disease. Dis Mon 2018;64:20-57.
18. Nakamura M, Watanabe K, Ohmiya N, et al. Tag-less patency capsule for suspected small bowel stenosis: Nationwide multicenter prospective study in Japan. Dig Endosc 2021;33:151-61.
19. Kopylov U, Nemeth A, Cebrian A, et al. Symptomatic retention of the patency capsule: a multicenter real life case series. Endosc Int Open 2016;4:E964E96-9.
20. Cebrián-García A, Elosua-González A, Fernández-Urién-Sainz I. Use of patency capsule in daily practice. Rev Esp Enferm Dig 2019;111:491-492.
21. Jhaveri KS, Sagheb S, Guimaraes L, et al. Evaluation of Crohn Disease Activity Using a Potential Abbreviated MRE Protocol Consisting of Balanced Steady-State Free Precession MRI Only Versus Full-Protocol MRE. AJR Am J Roentgenol 2021;216:384-92.
22. Kopylov U, Yung DE, Engel T, et al. Diagnostic yield of capsule endoscopy versus magnetic resonance enterography and small bowel contrast ultrasound in the evaluation of small bowel Crohn's disease: Systematic review and meta-analysis. Dig Liver Dis 2017;49:854-63.
23. Fornasa F, Benassuti C, Benazzato L. Role of Magnetic Resonance Enterography in Differentiating between Fibrotic and Active Inflammatory Small Bowel Stenosis in Patients with Crohn's Disease. J Clin Imaging Sci 2011;1:35.
24. González-Suárez B, Rodriguez S, Ricart E, et al. Comparison of Capsule Endoscopy and Magnetic Resonance Enterography for the Assessment of Small Bowel Lesions in Crohn's Disease. Inflamm Bowel Di. 2018;24:775-80.
25. Rozendorn N, Klang E, Lahat A, et al. Prediction of patency capsule retention in known Crohn's disease patients by using magnetic resonance imaging. Gastrointest Endosc 2016;83:182-7.
Related articles

Letter

Blue rubber bleb nevus syndrome

DOI: 10.17235/reed.2023.9913/2023

Letter

Capsule endoscopy diagnosis of gastrointestinal melanoma

DOI: 10.17235/reed.2023.9803/2023

Letter

Isolated Jejunal Crohn's Disease: a challenging diagnosis

DOI: 10.17235/reed.2022.9423/2022

Digestive Diseases Image

Whipple’s disease – A typical endoscopic finding of a rare disease

DOI: 10.17235/reed.2022.9338/2022

Letter

Primary intestinal melanoma?

DOI: 10.17235/reed.2022.8944/2022

Digestive Diseases Image

Ileal neuroendocrine tumor as an uncommon cause of obscure gastrointestinal bleeding

DOI: 10.17235/reed.2022.8641/2022

Digestive Diseases Image

Duodenal-type follicular lymphoma: a silent tumor

DOI: 10.17235/reed.2021.8149/2021

Letter

Bochdalek hernia: use of capsule endoscopy

DOI: 10.17235/reed.2021.7760/2020

Digestive Diseases Image

Jejunal schwannoma detected by video capsule endoscopy

DOI: 10.17235/reed.2020.6474/2019

Digestive Diseases Image

Capsule endoscopy, a useful tool for the diagnosis of a tapeworm infection

DOI: 10.17235/reed.2019.6346/2019

Letter

Use of patency capsule in daily practice

DOI: 10.17235/reed.2019.5952/2018

Digestive Diseases Image

Metastasis of dermatofibrosarcoma diagnosed by capsule endoscopy

DOI: 10.17235/reed.2018.4900/2017

Letter to the Editor

Symptomatic retention of the Agile® patency capsule

DOI: 10.17235/reed.2017.4691/2016

Letter to the Editor

Whipple’s disease under the vision of capsule endoscopy

DOI: 10.17235/reed.2016.4362/2016

Letter to the Editor

Asymptomatic bronchial aspiration of capsule endoscope: a significant complication

DOI: 10.17235/reed.2016.4363/2016

Case Report

Atypical diagnosis diagnosis by endoscopic capsule: Whipple´s disease

DOI: 10.17235/reed.2015.3718/2015

Citation tools
Blanco Velasco G, Ramos-García J, García-Contreras L, Solórzano-Pineda O, Martínez-Camacho C, Murcio-Pérez E, et all. Predictive value of patency capsule and magnetic resonance enterography for capsule endoscopy retention in patients with established Crohn’s disease. 8848/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 989 visits.
This article has been downloaded 131 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 08/04/2022

Accepted: 19/05/2022

Online First: 03/06/2022

Published: 07/03/2023

Article revision time: 37 days

Article Online First time: 56 days

Article editing time: 333 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology