Comparison of magnetic resonance enterography and video capsule endoscopy in evaluating small bowel disease.

Details

Serval ID
serval:BIB_353DFB886B62
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Comparison of magnetic resonance enterography and video capsule endoscopy in evaluating small bowel disease.
Journal
European Journal of Gastroenterology and Hepatology
Author(s)
Crook D.W., Knuesel P.R., Froehlich J.M., Eigenmann F., Unterweger M., Beer H.J., Kubik-Huch R.A.
ISSN
0954-691X
Publication state
Published
Issued date
2009
Volume
21
Number
1
Pages
54-65
Language
english
Abstract
PURPOSE: The goal of this study was to compare magnetic resonance enterography (MRE) and video capsule endoscopy (VCE) in suspected small bowel disease. MATERIALS AND METHODS: Nineteen patients with suspected small bowel disease participated in a prospective clinical comparison of MRE versus VCE. Both methods were evaluated separately and in conjunction with respect to a combined diagnostic endpoint based on clinical, laboratory, surgical, and histopathological findings. The Fisher's exact and j tests were used in comparing MRE and VCE. RESULTS: Small bowel pathologies were found in 15 out of 19 patients: Crohn's disease (n= 5), lymphoma (n= 4), lymphangioma (n= 1), adenocarcinoma (n= 1), postradiation enteropathy (n= 1), NSAID-induced enteropathy (n =1), angiodysplasia (n= 1), and small bowel adhesions (n= 1). VCE and MRE separately and in conjunction showed sensitivities of 92.9, 71.4, and 100% and specificities of 80, 60, and 80% (kappa= 0.73 vs. kappa = 0.29; P= 0.31/kappa = 0.85), respectively. In four patients, VCE depicted mucosal pathologies missed by MRE. MRE revealed 19 extraenteric findings in 11 patients as well as small bowel adhesions not detected on VCE (n= 1). CONCLUSION: VCE can readily depict and characterize subtle mucosal lesions missed at MRE, whereas MRE yields additional mural, perienteric, and extraenteric information. Thus, VCE and MRE appear to be complementary methods which, when used in conjunction, may better characterize suspected small bowel disease.
Keywords
Adult, Aged, Aged, 80 and over, Capsule Endoscopy, Female, Humans, Intestinal Diseases/diagnosis, Intestine, Small, Magnetic Resonance Imaging/methods, Male, Middle Aged, Prospective Studies
Pubmed
Web of science
Create date
29/09/2009 8:29
Last modification date
20/08/2019 13:22
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