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Clinical feasibility of panintestinal (or panenteric) capsule endoscopy : A systematic review

Valdivia, Pablo Cortegoso ; Elosua, Alfonso ; Houdeville, Charles ; Pennazio, Marco ; Fernández-Urién, Ignacio ; Dray, Xavier ; Toth, Ervin LU ; Eliakim, Rami and Koulaouzidis, Anastasios (2021) In European Journal of Gastroenterology and Hepatology 33(7). p.949-955
Abstract

In recent years, panintestinal capsule endoscopy (PCE) with double-headed capsules has been used to perform complete, single-sitting exploration of both small bowel and colon in different clinical conditions. Double-headed capsules for colonic examination (CCE) have been exploited first in this setting, followed by newer generations of capsules (i.e. PillCam Crohn, PCC) specifically engineered for this purpose. The aim of this study was to evaluate the feasibility of PCE in the form of a systematic review. We performed a comprehensive literature search to identify papers in which CE was specifically used for a PCE of the gastrointestinal tract. Data on CE, bowel preparation regimen, rate of cleanliness and completeness, and data on... (More)

In recent years, panintestinal capsule endoscopy (PCE) with double-headed capsules has been used to perform complete, single-sitting exploration of both small bowel and colon in different clinical conditions. Double-headed capsules for colonic examination (CCE) have been exploited first in this setting, followed by newer generations of capsules (i.e. PillCam Crohn, PCC) specifically engineered for this purpose. The aim of this study was to evaluate the feasibility of PCE in the form of a systematic review. We performed a comprehensive literature search to identify papers in which CE was specifically used for a PCE of the gastrointestinal tract. Data on CE, bowel preparation regimen, rate of cleanliness and completeness, and data on transit times were analyzed. The primary outcome was to assess the feasibility of a whole-gut exploration with CE. Sixteen (n = 16) studies including 915 CE procedures with CCE1 (n = 134), CCE2 (n = 357) and PCC (n = 424) were included. 13/16 studies were performed in the setting of Crohn’s disease. Cleanliness and completeness rates were acceptable in all studies, ranging from 63.9% and 68.6% to 100%, respectively. In conclusion, PCE is a feasible technique, although further structured studies are needed to explore its full potential.

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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Capsule endoscopy, Double-headed capsule, Panenteric, Panintestinal
in
European Journal of Gastroenterology and Hepatology
volume
33
issue
7
pages
7 pages
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:85107048146
  • pmid:34034282
ISSN
0954-691X
DOI
10.1097/MEG.0000000000002200
language
English
LU publication?
yes
id
b40ea5ff-2eb5-4635-aad3-16c79add7c5d
date added to LUP
2022-03-02 15:21:47
date last changed
2024-06-14 13:46:41
@article{b40ea5ff-2eb5-4635-aad3-16c79add7c5d,
  abstract     = {{<p>In recent years, panintestinal capsule endoscopy (PCE) with double-headed capsules has been used to perform complete, single-sitting exploration of both small bowel and colon in different clinical conditions. Double-headed capsules for colonic examination (CCE) have been exploited first in this setting, followed by newer generations of capsules (i.e. PillCam Crohn, PCC) specifically engineered for this purpose. The aim of this study was to evaluate the feasibility of PCE in the form of a systematic review. We performed a comprehensive literature search to identify papers in which CE was specifically used for a PCE of the gastrointestinal tract. Data on CE, bowel preparation regimen, rate of cleanliness and completeness, and data on transit times were analyzed. The primary outcome was to assess the feasibility of a whole-gut exploration with CE. Sixteen (n = 16) studies including 915 CE procedures with CCE1 (n = 134), CCE2 (n = 357) and PCC (n = 424) were included. 13/16 studies were performed in the setting of Crohn’s disease. Cleanliness and completeness rates were acceptable in all studies, ranging from 63.9% and 68.6% to 100%, respectively. In conclusion, PCE is a feasible technique, although further structured studies are needed to explore its full potential.</p>}},
  author       = {{Valdivia, Pablo Cortegoso and Elosua, Alfonso and Houdeville, Charles and Pennazio, Marco and Fernández-Urién, Ignacio and Dray, Xavier and Toth, Ervin and Eliakim, Rami and Koulaouzidis, Anastasios}},
  issn         = {{0954-691X}},
  keywords     = {{Capsule endoscopy; Double-headed capsule; Panenteric; Panintestinal}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{949--955}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{European Journal of Gastroenterology and Hepatology}},
  title        = {{Clinical feasibility of panintestinal (or panenteric) capsule endoscopy : A systematic review}},
  url          = {{http://dx.doi.org/10.1097/MEG.0000000000002200}},
  doi          = {{10.1097/MEG.0000000000002200}},
  volume       = {{33}},
  year         = {{2021}},
}