PillCam Colon capsule endoscopy does not always complement incomplete colonoscopy - 23/08/11
Athens, Greece
Abstract |
Background |
There are no data on the role of PillCam Colon capsule (PCC) endoscopy for examination of the colon in incomplete colonoscopy cases.
Objective |
To evaluate whether PCC endoscopy can complete colon examination after failure of conventional colonoscopy to visualize the cecum.
Setting |
Three tertiary centers.
Study design |
Retrospective case series.
Patients |
Patients who underwent PCC endoscopy after incomplete colonoscopy from January to June 2008.
Interventions |
Conventional colonoscopy and PCC endoscopy.
Results |
By using PCC, we studied 12 patients who had incomplete colonoscopy. Six patients had an obstructing tumor of the left side of the colon, and, in 6 cases, there were technical difficulties to complete colonoscopy. PCC endoscopy visualized the rectum in 1 case. The capsule did not reach the site where colonoscopy stopped in 6 of the 12 cases, ie, 3 left sited tumors and 3 with technical difficulties. Moreover, in 1 of the 3 cases in which the capsule passed the site where colonoscopy stopped, poor bowel preparation precluded the accurate examination of the colon. Four patients underwent a third colon examination (3 barium enemas and 1 virtual CT colonoscopy). There were no adverse events related to PCC endoscopy.
Limitations |
A retrospective study and a selected patient population. Data may not be applicable to other settings.
Conclusion |
In this retrospective case series of patients with incomplete colonoscopy, PCC endoscopy did not always satisfactorily examine the colon.
Le texte complet de cet article est disponible en PDF.Abbreviation : PCC
Plan
| DISCLOSURE: All authors disclosed no financial relationships relevant to this publication. |
Vol 69 - N° 3P1
P. 572-576 - mars 2009 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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