Subject(s)
Adenocarcinoma/diagnostic imaging , Intestinal Fistula/etiology , Intestine, Small , Rectal Neoplasms/diagnostic imaging , Sigmoid Neoplasms/diagnostic imaging , Adenocarcinoma/complications , Adult , Colonic Diseases/diagnostic imaging , Colonic Diseases/etiology , Colonoscopy , Female , Humans , Intestinal Fistula/diagnostic imaging , Intestine, Small/diagnostic imaging , Rectal Neoplasms/complications , Sigmoid Neoplasms/complications , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Female , Adult , Cavitation/methods , Intestinal Fistula/complications , Intestinal Fistula/pathology , Intestinal Fistula , Adenocarcinoma/complications , Adenocarcinoma/diagnosis , Adenocarcinoma/pathology , Colonic Neoplasms/complications , Colonic Neoplasms/diagnosis , Colonic Neoplasms/pathology , Adenocarcinoma , Colonic Neoplasms , Abdominal Pain/complications , Abdominal Pain/etiology , Colonoscopy/methodsABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Esophageal Motility Disorders/diagnosis , Deglutition Disorders/diagnosis , Manometry , Chest Pain/etiologySubject(s)
Duodenal Diseases/pathology , Melanosis/pathology , Stomach Diseases/pathology , Aged , Humans , Male , Middle AgedABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Hutchinson's Melanotic Freckle/complications , Hutchinson's Melanotic Freckle/diagnosis , Hutchinson's Melanotic Freckle/pathology , Melanosis/diagnosis , Melanosis/pathology , Gastric Mucosa/cytology , Gastric Mucosa/pathology , Intestinal Mucosa/pathology , Endoscopy, Digestive System/methods , Macrophages/cytology , Macrophages/pathology , Antihypertensive Agents/adverse effects , Hypertension/complications , Iron/adverse effects , Renal Insufficiency/complications , Gastrointestinal Hemorrhage/complications , Diabetes Complications , Heart Failure/complications , Diagnosis, DifferentialABSTRACT
Introducción: La cápsula endoscópica (CE) es la técnica de elección para detectar lesiones de intestino delgado (ID). En la versión 6.0 de la estación de trabajo RAPID se ha implementado el software de realce de imagen flexible spectral imaging color enhancement [FICE]) para cápsula endoscópica (FICE-CE), que permite visualizar la mucosa con 3 patrones diferentes según distintas longitudes de onda. El objetivo de este trabajo es valorar si las lesiones halladas en CE mejoran con la imagen modificada del FICE-CE con respecto a la visualización estándar. Pacientes y métodos: Se recogieron 50 lesiones encontradas en CE en 41 pacientes consecutivos del año 2010 a los que se administró PillCamTM SB2 en nuestro centro, siendo clasificadas en 3 grupos: a) lesiones vasculares y (..) (AU)
Introduction: Capsule endoscopy (CE)is the technique of choice to detect small bowel lesions. Flexible spectral imaging color enhancement (FICE) software has recently been incorporated into the new RAPID 6.0 workstation, which allows three distinct patterns to be visualized in the mucosal structure according to different wavelengths. The aim of this study was to evaluate whether CE-FICE is more effective in detecting lesions than standard visualization. Patients and methods: Fifty lesions were detected by CE in 41 consecutive patients in 2010. These patients were administered PillCamTM SB2 in our center and were classified into three groups: 1) vascular lesions and (..) (AU)
Subject(s)
Humans , Intestine, Small/pathology , Intestinal Neoplasms/diagnosis , Endoscopy, Gastrointestinal/methods , Image Processing, Computer-Assisted/methods , Capsule Endoscopes , Epidemiology, DescriptiveABSTRACT
BACKGROUND AND STUDY AIMS: To obtain an adequate view of the whole small intestine during capsule endoscopy (CE) a clear liquid diet and overnight fasting is recommended. However, intestinal content can hamper vision in spite of these measures. Our aim was to evaluate tolerance and degree of intestinal cleanliness during CE following three types of bowel preparation. PATIENTS AND METHODS: This was a prospective, multicenter, randomized, controlled study. Two-hundred ninety-one patients underwent one of the following preparations: 4 L of clear liquids (CL) (group A; 92 patients); 90 mL of aqueous sodium phosphate (group B; 89 patients); or 4 L of a polyethylene glycol electrolyte solution (group C; 92 patients). The degree of cleanliness of the small bowel was classified by blinded examiners according to four categories (excellent, good, fair or poor). The degree of patient satisfaction, gastric and small bowel transit times, and diagnostic yield were measured. RESULTS: The degree of cleanliness did not differ significantly between the groups (P = 0.496). Interobserver concordance was fair (k = 0.38). No significant differences were detected between the diagnostic yields of the CE (P = 0.601). Gastric transit time was 35.7 ± 3.7 min (group A), 46.1 ± 8.6 min (group B) and 34.6 ± 5.0 min (group C) (P = 0.417). Small-intestinal transit time was 276.9 ± 10.7 min (group A), 249.7 ± 13.1 min (group B) and 245.6 ± 11.6 min (group C) (P = 0.120). CL was the best tolerated preparation. Compliance with the bowel preparation regimen was lowest in group C (P = 0.008). CONCLUSIONS: A clear liquid diet and overnight fasting is sufficient to achieve an adequate level of cleanliness and is better tolerated by patients than other forms of preparation.
