Identification of the duodenal papilla by colon capsule endoscope

The sensitivity of small-bowel capsule endoscopy in visualizing a single finding present in everyone, the duodenal papilla, is limited. In this retrospective case series study we evaluated whether the duodenal papilla can be better visualized by a capsule endoscope equipped with cameras on both ends...

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Bibliographic Details
Published in:	Zeitschrift fur Gastroenterologie Vol. 48; no. 7; p. 753
Main Authors:	Karagiannis, S, Dücker, C, Dautel, P, Strubenhoff, J, Faiss, S
Format:	Journal Article
Language:	English
Published:	Germany 01-07-2010
Subjects:	Adult Aged Capsule Endoscopes Duodenum - cytology Endoscopes, Gastrointestinal Female Humans Male Middle Aged
Online Access:	Get more information
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Summary:	The sensitivity of small-bowel capsule endoscopy in visualizing a single finding present in everyone, the duodenal papilla, is limited. In this retrospective case series study we evaluated whether the duodenal papilla can be better visualized by a capsule endoscope equipped with cameras on both ends. The recordings of 45 colonic capsule endoscopies (PillCam Colon) performed in a single tertiary center were re-evaluated seeking for the duodenal papilla. The two-hour sleeping period of the colon capsule endoscopy system led to the imaging of duodenum in 10 / 45 patients. The duodenal papilla was identified in 6 / 10 (60 %) patients while the number of frames where the papilla was clearly visualized ranged from 2 - 9. Consequently, a small-bowel capsule endoscope containing two cameras could better identify the duodenal papilla and theoretically other obscure areas of the small bowel, expanding its diagnostic accuracy.
ISSN:	1439-7803
DOI:	10.1055/s-0028-1109970