Advertisement

 

 

Therapeutic impact of colon capsule endoscopy with PillCam™ COLON 2 after incomplete standard colonoscopy: a Spanish multicenter study.

Therapeutic impact of colon capsule endoscopy with PillCam™ COLON 2 after incomplete standard colonoscopy: a Spanish multicenter study.
Author Information (click to view)

Nogales Ó, García-Lledó J, Luján M, Nicolás D, Juanmartiñena JF, González-Suárez B, Sánchez Ceballos F, Couto I, Olmedo J, Garfia C, Carretero C, Fernández Urién I, Rodríguez S, Asteinza M, Olivencia P, Masedo Á, Muñoz-Navas M, Merino B, González Asanza C,


Nogales Ó, García-Lledó J, Luján M, Nicolás D, Juanmartiñena JF, González-Suárez B, Sánchez Ceballos F, Couto I, Olmedo J, Garfia C, Carretero C, Fernández Urién I, Rodríguez S, Asteinza M, Olivencia P, Masedo Á, Muñoz-Navas M, Merino B, González Asanza C, (click to view)

Nogales Ó, García-Lledó J, Luján M, Nicolás D, Juanmartiñena JF, González-Suárez B, Sánchez Ceballos F, Couto I, Olmedo J, Garfia C, Carretero C, Fernández Urién I, Rodríguez S, Asteinza M, Olivencia P, Masedo Á, Muñoz-Navas M, Merino B, González Asanza C,

Advertisement

Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2017 02 23() doi 10.17235/reed.2017.4369/2016
Abstract
INTRODUCTION
Colon capsule endoscopy (CCE) is an alternative approach for the examination of the colon in patients who refuse colonoscopy or after incomplete colonoscopy (IC). We conducted a study to determine the frequency of complete colonoscopy after IC, the diagnostic yield of CCE, the therapeutic impact of lesions found in CCE, the level of colon cleanliness and the safety of the procedure.

METHODS
We performed a prospective, multicenter study involving ten Spanish hospitals. Consecutive outpatients aged ≥ 18 years with previous IC were invited to participate. The latest version of the CCE device, PillCam™ COLON 2 (CCE-2), was administered to all patients according to the protocol.

RESULTS
The study population comprised 96 patients. The most frequent cause of IC was the inability to move past a loop using standard maneuvers (75/96 patients, 78%). Complete visualization of the colon was obtained with CCE-2 in 69 patients (71.9%). Of the 27 patients in whom the CCE-2 did not reach the hemorrhoidal plexus, it passed the colonic segment explored with the previous colonoscopy in 20 cases; therefore, it could be inferred that a combined approach (CCE-2 plus colonoscopy) enabled complete visualization of the colonic mucosa in 92.7% of patients. CCE-2 revealed new lesions in 58 patients (60.4%). Polyps were the most frequent finding (41 patients; 42.7% of the total number of patients). In 43 of the 58 patients (44.8% of the total number of patients), the new lesions observed led to modification of therapy, which included a new colonoscopy for polyp resection or surgery in patients with colonic neoplasm.

CONCLUSIONS
CCE-2 is a suitable diagnostic procedure that can lead to more frequent diagnosis of significant colonic lesions after IC.

Submit a Comment

Your email address will not be published. Required fields are marked *

ten − two =

[ HIDE/SHOW ]