Año 2018 / Volumen 110 / Número 3
Original
Capsule endoscopy with PillCamSB2 versus PillCamSB3: has the improvement in technology resulted in a step forward?

155-159

DOI: 10.17235/reed.2017.5071/2017

Sofia Xavier, Sara Monteiro, Joana Magalhães, Bruno Rosa, Maria João Moreira, José Cotter,

Resumen
Aim: To compare the findings and completion rate of PillCam® SB2 and SB3. Methods: This was a retrospective single-center study that included 357 consecutive small bowel capsule endoscopies (SBCE), 173 SB2 and 184 SB3. The data collected included age, gender, capsule type (PillCam® SB2 or SB3), quality of bowel preparation, completion of the examination, gastric and small bowel transit time, small bowel findings, findings in segments other than the small bowel and the detection of specific anatomical markers, such as the Z line and papilla. Results: The mean age of the patients was 48 years and 66.9% were female. The two main indications were suspicion/staging of inflammatory bowel disease (IBD) and obscure gastrointestinal bleeding (OGIB) (43.7% and 40.3%, respectively). Endoscopic findings were reported in 76.2% of examinations and 53.5% were relevant findings. No significant differences were found between SB2 and SB3 with regard to completion rate (93.6% vs 96.2%, p = 0.27), overall endoscopic findings (73.4% vs 78.8%, p = 0.23), relevant findings (54.3% vs 52.7%, p = 0.76), first tertile findings (43.9% vs 48.9%, p = 0.35), extra-SB findings (23.7% vs 17.3%, p = 0.14), Z line and papilla detection rate (35.9% vs 35.7%, p = 0.97 and 27.1% vs 32.6%, p = 0.32, respectively). With regard to the patient subgroups with suspicion/staging of IBD, significant differences were found in relation to the detection of villous edema and the 3rd tertile findings, thus favoring SB3 (26.3% vs 43.8%, p = 0.02 and 47.4% vs 66.3%, p = 0.02, respectively). Mucosal atrophy was significantly more frequently diagnosed with the PillCam® SB3 in patients with anemia/OGIB (0% vs 8%, p = 0.03). Conclusions: Overall, PillCam® SB3 did not improve the diagnostic yield compared to SB2, although it improved the detection of villous atrophy and segmental edema.
Nuevo comentario
Comentarios
No hay comentarios para este artículo.
Bibliografía
1 Pennazio M, Spada C, Eliakim R et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2015; 47(4): 352-376 [PMID: 25826168 DOI: 10.1055/s-0034-1391855]
2 Dunn S BR, Neilson LJ, Keay R et al. Is It Worth Repeating Previous Unremarkable Sb2 Capsules With The New Sb3? Gut 2014; 63: A61-62
3 Rahman M, Akerman S, DeVito B et al. Comparison of the diagnostic yield and outcomes between standard 8 h capsule endoscopy and the new 12 h capsule endoscopy for investigating small bowel pathology. World journal of gastroenterology 2015; 21(18): 5542-5547 [PMID: 25987777 PMCID: 4427676 DOI: 10.3748/wjg.v21.i18.5542]
4 Cotter J, de Castro FD, Magalhaes J et al. Finding the solution for incomplete small bowel capsule endoscopy. World journal of gastrointestinal endoscopy 2013; 5(12): 595-599 [PMID: 24368935 PMCID: 3870913 DOI: 10.4253/wjge.v5.i12.595]
5 Rosa BJ, Barbosa M, Magalhaes J et al. Oral purgative and simethicone before small bowel capsule endoscopy. World journal of gastrointestinal endoscopy 2013; 5(2): 67-73 [PMID: 23424190 PMCID: 3574615 DOI: 10.4253/wjge.v5.i2.67]
6 Cotter J, Magalhaes J, de Castro FD et al. Virtual chromoendoscopy in small bowel capsule endoscopy: New light or a cast of shadow? World journal of gastrointestinal endoscopy 2014; 6(8): 359-365 [PMID: 25132919 PMCID: 4133415 DOI: 10.4253/wjge.v6.i8.359]
7 Dias de Castro F, Magalhaes J, Boal Carvalho P et al. Improving diagnostic yield in obscure gastrointestinal bleeding--how virtual chromoendoscopy may be the answer. European journal of gastroenterology & hepatology 2015; 27(6): 735-740 [PMID: 25860720 DOI: 10.1097/MEG.0000000000000358]
8 Gralnek IM DR, Seidman E, et al. Development of a capsule endoscopy scoring index for small bowel mucosal inflammatory change. Aliment Pharmacol Ther 2008; 27: 146–154
9 K. Mergener TP, I. Gralnek , M. Pennazio et al. Literature review and recommendations for clinical application of small-bowel capsule endoscopy, based on a panel discussion by international experts. Endoscopy 2007; 39: 895-909
10 Buscaglia J.M KS, Clarke J.O., Bucobo J.C. et al. Enhanced Diagnostic Yield with Prolonged Small Bowel Transit Time during Capsule Endoscopy. Int J Med Sci 2008; 5(6): 303-308
11 Westerhof J, Koornstra JJ, Hoedemaker RA et al. Diagnostic yield of small bowel capsule endoscopy depends on the small bowel transit time. World journal of gastroenterology 2012; 18(13): 1502-1507 [PMID: 22509082 PMCID: 3319946 DOI: 10.3748/wjg.v18.i13.1502]
12 Chong AK, Chin BW, Meredith CG. Clinically significant small-bowel pathology identified by double-balloon enteroscopy but missed by capsule endoscopy. Gastrointestinal endoscopy 2006; 64(3): 445-449 [PMID: 16923502 DOI: 10.1016/j.gie.2006.04.007]
13 Postgate A, Despott E, Burling D. et al. Significant small-bowel lesions detected by alternative diagnostic modalities after negative capsule endoscopy. Gastrointestinal endoscopy 2008; 68(6): 1209-1214 [PMID: 19028234 DOI: 10.1016/j.gie.2008.06.035]
14 Koulaouzidis A, Rondonotti E, Karargyris A. Small-bowel capsule endoscopy: a ten-point contemporary review. World journal of gastroenterology 2013; 19(24): 3726-3746 [PMID: 23840112 PMCID: 3699039 DOI: 10.3748/wjg.v19.i24.3726]
15 Selby WS, Prakoso E. The inability to visualize the ampulla of Vater is an inherent limitation of capsule endoscopy. European journal of gastroenterology & hepatology 2011; 23(1): 101-103 [PMID: 21030868 DOI: 10.1097/MEG.0b013e3283410210]
16 Cotter J, Dias de Castro F, Magalhaes J. et al. Validation of the Lewis score for the evaluation of small-bowel Crohn's disease activity. Endoscopy 2015; 47(4): 330-335 [PMID: 25412092 DOI: 10.1055/s-0034-1390894]
17 Barret M, Malamut G, Rahmi G et al. Diagnostic yield of capsule endoscopy in refractory celiac disease. The American journal of gastroenterology 2012; 107(10): 1546-1553
Artículos relacionados

Carta

Hyperbaric oxygen therapy for perianal Crohn’s disease

DOI: 10.17235/reed.2024.10378/2024

Carta

Secondary orofacial granulomatosis due to Crohn’s disease

DOI: 10.17235/reed.2024.10214/2023

Carta

Lung abscess in a non-compliant patient with Crohn’s disease

DOI: 10.17235/reed.2024.10140/2023

Carta

Coincidental oral lesions in Crohn’s disease

DOI: 10.17235/reed.2023.9992/2023

Carta

Blue rubber bleb nevus syndrome

DOI: 10.17235/reed.2023.9913/2023

Imagen en Patología Digestiva

Jejunum cavernous hemangioma: a rare cause of gastrointestinal bleeding

DOI: 10.17235/reed.2023.9812/2023

Carta

Isolated Jejunal Crohn's Disease: a challenging diagnosis

DOI: 10.17235/reed.2022.9423/2022

Imagen en Patología Digestiva

Intestinal and perianal tuberculosis: an uncommon clinical presentation and challenging diagnosis

DOI: 10.17235/reed.2022.8988/2022

Carta

¿Melanoma intestinal primario?

DOI: 10.17235/reed.2022.8944/2022

Imagen en Patología Digestiva

Enfermedad de Crohn cutánea periostomal por contigüidad

DOI: 10.17235/reed.2022.8909/2022

Imagen en Patología Digestiva

Tumor neuroendocrino ileal como causa infrecuente de hemorragia digestiva de origen oscuro

DOI: 10.17235/reed.2022.8641/2022

Imagen en Patología Digestiva

Duodenal-type follicular lymphoma: a silent tumor

DOI: 10.17235/reed.2021.8149/2021

Original

Mercaptopurine and inflammatory bowel disease: the other thiopurine

DOI: 10.17235/reed.2016.4546/2016

Carta al Editor

Adnexal localization of Crohn’s disease and recurrent massive ovary cysts

DOI: 10.17235/reed.2016.4301/2016

Caso Clínico

Enfermedad de Crohn metastásica en pediatría

DOI: 10.17235/reed.2016.3948/2015

Carta al Editor

Debut conjunto de enfermedad de Crohn y síndrome de Sweet

DOI: 10.17235/reed.2015.3842/2015

Caso Clínico

Afectación ovárica en la enfermedad de Crohn: una complicación rara

DOI: 10.17235/reed.2015.3764/2015

Instrucciones para citar
Xavier S, Monteiro S, Magalhães J, Rosa B, Moreira M, Cotter J, et all. Capsule endoscopy with PillCamSB2 versus PillCamSB3: has the improvement in technology resulted in a step forward? . 5071/2017


Descargar en un gestor de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica
Este artículo ha sido visitado 739 veces.
Este artículo ha sido descargado 241 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 20/05/2017

Aceptado: 14/11/2017

Prepublicado: 26/12/2017

Publicado: 28/02/2018

Tiempo de revisión del artículo: 176 días

Tiempo de prepublicación: 220 días

Tiempo de edición del artículo: 284 días


Compartir
Este artículo ha sido valorado por 1 lectores .
Valoración del lector:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
La REED es el órgano oficial de la Sociedad Española de Patología Digestiva, la SociedadEspañola de Endoscopia Digestiva y la Asociación Española de Ecografía Digestiva
Política de cookies Política de Privacidad Aviso Legal © Copyright 2026 y Creative Commons. Revista Española de Enfermedades Digestivas