PillCam Colon capsule endoscopy does not always complement incomplete colonoscopy - 23/08/11

Doi : 10.1016/j.gie.2008.10.047

Konstantinos Triantafyllou, MD, PhD ^⁎, Panagiotis Tsibouris, MD, PhD, Chryssostomos Kalantzis, MD, PhD, Kostis Papaxoinis, MD, PhD, Theodora Kalli, MD, Nikolaos Kalantzis, MD, PhD, Spiros D. Ladas, MD, PhD
Current affiliations: Hepatogastroenterology Unit (K. T., T.K.), 2nd Department of Internal Medicine—Propaedeutic, Medical School, Athens University, “Attikon” University General Hospital, Department of Gastroenterology (P.T., C.K., N.K.), NIMTS Hospital, 1st Department of Internal Medicine—Propaedeutic (K.P., S.D.L.), Medical School, Athens University, “Laikon” General Hospital, Athens, Greece

Reprint requests: Konstantinos Triantafyllou, MD, Hepatogastroenterology Unit, 2nd Department of Internal Medicine—Propaedeutic, “Attikon” University General Hospital, Rimini 1, Haidari, Athens 12464, Greece.

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.

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Abbreviation : PCC

Mappa

Patients and methods

Observations

Discussion

DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.

Esportazione

Vol 69 - N° 3P1

P. 572-576 - marzo 2009 Ritorno al numero

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