Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2009 Apr;69(4):857-65.
doi: 10.1016/j.gie.2008.06.007. Epub 2009 Jan 10.

Comparison of Detectability of Small-Bowel Lesions Between Capsule Endoscopy and Double-Balloon Endoscopy for Patients With Suspected Small-Bowel Disease

Affiliations
Comparative Study

Comparison of Detectability of Small-Bowel Lesions Between Capsule Endoscopy and Double-Balloon Endoscopy for Patients With Suspected Small-Bowel Disease

Akira Fukumoto et al. Gastrointest Endosc. .

Abstract

Background: There are many reports of the usefulness of capsule endoscopy (CE) or double-balloon endoscopy (DBE) for the detection of small-bowel disease. However, there are few reports that compared CE and DBE.

Objective: To determine whether CE or DBE better detects small-bowel lesions in patients with suspected small-bowel disease.

Design: A prospective single-center study.

Setting: Department of Endoscopy, Hiroshima University Hospital.

Main outcome measurements: Rates of CE and DBE detection of small-bowel lesions.

Patients: Seventy-six consecutive patients (47 men, 29 women; mean age 56.0 years) who underwent both CE and DBE.

Methods: CE was performed before DBE. DBEs were performed within 1 week, by both retrograde and antegrade approaches so that the entire small bowel could be examined, if possible.

Results: Small-bowel lesions were detected by CE in 42 patients (55.3%) and by DBE in 46 patients (60.5%). The difference was not significant (P = .45). Total enteroscopy was achieved by both examinations in 35 patients, and small-bowel lesions were detected by both examinations in 21 of the 35 patients (60.0%). Agreement between results of the 2 examinations was good (kappa = 0.76).

Limitation: The main indication for examinations was not the same.

Conclusions: CE and DBE are nearly equal in their ability to detect small-bowel lesions if the entire small bowel is examined.

Similar articles

See all similar articles

Cited by 34 articles

See all "Cited by" articles

Publication types

LinkOut - more resources

Feedback