AI Article Synopsis
- Researchers developed a new type of upper and mid gastrointestinal capsule endoscopy using a modified magnetic control method to improve observation of the GI tract.
- *In a study with 30 patients, the system achieved high detection rates for key areas in the GI tract and had a complete examination rate of 95.45%.
- *The capsule endoscopy was well received by patients with minimal discomfort, no adverse events, and a high diagnostic yield, suggesting its potential for use in detecting GI bleeding.
Article Abstract
Backgrounds And Aims: Complete and consecutive observation of the gastrointestinal (GI) tract continues to present challenges for current endoscopy systems. We developed a novel upper and mid gastrointestinal (UMGI) capsule endoscopy using the modified detachable string magnetically controlled capsule endoscopy (DS-MCE) and inspection method and aimed to assess the clinical application.
Methods: Patients were recruited to undergo UMGI capsule endoscopy followed by esophagogastroduodenoscopy. All capsule procedures in the upper gastrointestinal (UGI) tract were conducted under the control of magnet and string. The main outcome was technical success, and the secondary outcomes included visualization of the UMGI tract, examination time, diagnostic yield, compliance, and safety evaluation.
Results: Thirty patients were enrolled and all UMGI capsule procedures realized repeated observation of the esophagus and duodenum with detection rates of 100.0%, 80.0%, and 86.7% of Z-line, duodenal papilla, and reverse side of pylorus, respectively. String detachment was succeeded in 29 patients (96.7%) and the complete examination rate of UMGI tract was 95.45% (21/22). All UMGI capsule procedures were well tolerated with low discomfort score, and had a good diagnostic yield with per-lesion sensitivity of 96.2% in UGI diseases. No adverse events occurred.
Conclusions: This new capsule endoscopy system provides an alternative screening modality for the UMGI tract, and might be indicated in cases of suspected upper and small bowel GI bleeding. Trial registration DS-MCE-UGI and SB, NCT04329468. Registered 27 March 2020, https://clinicaltrials.gov/ct2/results?cond=&term=NCT04329468 .
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019395 | PMC |
| http://dx.doi.org/10.1186/s12876-023-02696-5 | DOI Listing |
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