%0 Journal Article
%T A Prospective Study Comparing Real Time Video Capsule Endoscopy to Standard Endoscopy in Patients with Suspected Upper Gastrointestinal Bleeding
%A Arkady Broder
%A Timothy C Johnson
%A David P Hudesman
%A Jonathan Mazurek
%J Journal of Gastroenterology and Hepatology Research
%D 2012
%I Thomson Research Publishing Group
%R 10.6051/j.issn.2224-3992.2012.01.029
%X To determine the diagnostic yield, quality of risk stratification, andpatient tolerability of real time video capsule endoscopy (RT-VCE)as compared to standard upper endoscopy and official video capsuleendoscopy (O-VCE) in patients presenting with UGIB. A total of 20patients were evaluated during our trial period. An official interpretationof the VCE (O-VCE) was performed by an experienced endoscopistand documented before the end of the day. Overall cumulativefindings and their clinical significance were evaluated using the RTVCEand O-VCE interpretations as compared to gold standard EGD.The level of agreement in individual re-bleeding risk was comparedusing EGD versus VCE obtained Rockall scores. A questionnaireon patient tolerability and satisfaction was administered after bothprocedures were completed. Prospective analysis revealed that EGDand RT-VCE identified both low acuity and high acuity lesion atstatistically similar rates (79% vs. 68%, p=0.157, and 21% vs. 32%,p=0.157 respectively). There was high level of agreement betweenthe post endoscopy Rockall scores obtained for RT-VCE, O-VCEand EGD (Spearman correlation coefficient of 0.97 and 0.86 respectively,p<0.0001). Real time capsule endoscopy was the self reportedpreferable diagnostic test of choice. RT-VCE has similar lesion detectionrates when compared to both standard EGD and O-VCE, andmay serve as a risk stratification tool in patients who present withsuspected UGIB, and are at high risk for cardiopulmonary complicationsfrom EGD.
%K Upper gastrointestinal bleeding (UGIB)
%K Video capsule endoscopy (VCE)
%K Real time video capsule endoscopy (RT-VCE)
%K Official video capsule endoscopy (O-VCE)
%U http://www.ghrnet.org/index.php/joghr/article/view/31