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• W2118653313 abstract "Major drawbacks of capsule endoscopy in the esophagus include among others: unpredictable transit time, inability to examine any area of interest more than once, and the compromised quality of pictures by secretions/bubbles that cannot be cleared. The attachment of a tethering device to the Pill Cam ESO has not been previously described and may help to circumvent these deficiencies. Aim: To determine the utility of string capsule endoscopy using the Pill Cam Eso device in evaluation and diagnosis of esophageal disorders. Methods: Thirty-six patients: 14 with Barrett's esophagus, 12 with cirrhosis and portal hypertension and 10 with new esophageal symptoms undergoing EGD were enrolled. The tethering device was attached to the Pill Cam ESO. The study was divided in 2 consecutive diagnostic parts: 1) diagnosis by using the Pill Cam ESO following the manufacturer's recommendations of ingestion and progressive elevation of the head of the bed; 2) diagnosis during the maneuvering of the capsule using the tethering device after the first diagnostic part was completed and/or after the device had entered the stomach. An experienced endoscopist blinded to the EGD findings reviewed the pictures and rendered his diagnoses. Diagnoses were compared to the diagnosis by EGD. In addition the following times were recorded: time to swallow, to first visualization of the z line; to first gastric image; time from 1st Z-line to 1st gastric images and total procedure time. All procedures were carried out using the Real time viewer. Each Pill Cam ESO was retrieved, cleaned, disinfected and used 3 times in different patients. Patients were asked about their preference compared to EGD. Results: Of the 36 patients studied, the mean time from the 1st Z-line to the 1st gastric images was 50.1 sec. However, there were 2 patients in whom the capsule never went into the stomach; 3 patients in whom the time from the z-line to the stomach was zero and 8 additional patients in whom the interval time was ≤ 5 sec. There were 14 patients (38.9%) in whom a firm diagnosis could not be made during the first diagnostic part of the study. The use of the tethering device provided a diagnosis that matched the EGD diagnoses in all except 1 patient (EGD: small varices; string capsule short segment Barrett's). Conclusion: 1) The addition of the tethering device may increase the yield in up to 38% patients in whom the diagnosis cannot be firmly established using the conventional Pill Cam ESO method. 2) Eso-string capsule is a safe, well tolerated procedure without any complications. 3) The majority of patients (86.1%) preferred this tool to EGD." @default.
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• W2118653313 date "2009-04-01" @default.
• W2118653313 modified "2023-10-14" @default.
• W2118653313 title "The Role of a Tethering Device Attached to the PillCam ESO for the Evaluation and Diagnosis of Esophageal Disorders" @default.
• W2118653313 doi "https://doi.org/10.1016/j.gie.2009.03.1042" @default.
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