4.6 Article

Two cameras detect more lesions in the small-bowel than one

期刊

WORLD JOURNAL OF GASTROENTEROLOGY
卷 17, 期 11, 页码 1462-1467

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BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.v17.i11.1462

关键词

Small-bowel capsule endoscopy; Dual camera capsule endoscope; Feasibility; Lesion detection; Diagnostic yield

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AIM: To explore the feasibility of dual camera capsule (DCC) small-bowel (SB) imaging and to examine if two cameras complement each other to detect more SB lesions. METHODS: Forty-one eligible, consecutive patients underwent DCC SB imaging. Two experienced investigators examined the videos and compared the total number of detected lesions to the number of lesions detected by each camera separately. Examination tolerability was assessed using a questionnaire. RESULTS: One patient was excluded. DCC cameras detected 68 positive findings (POS) in 20 (50%) cases. Fifty of them were detected by the yellow camera, 48 by the green and 28 by both cameras; 44% (n = 22) of the yellow camera's POS were not detected by the green camera and 42% (n = 20) of the green camera's POS were not detected by the yellow camera. In two cases, only one camera detected significant findings. All participants had 216 findings of unknown significance (FUS). The yellow, green and both cameras detected 171, 161, and 116 FUS, respectively; 32% (n = 55) of the yellow camera's FUS were not detected by the green camera and 28% (n = 45) of the green camera's FUS were not detected by the yellow camera. There were no complications related to the examination, and 97.6% of the patients would repeat the examination, if necessary. CONCLUSION: DCC SB examination is feasible and well tolerated. The two cameras complement each other to detect more SB lesions. (C) 2011 Baishideng. All rights reserved.

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