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Beneficial effects of combining computed tomography enteroclysis/enterography with capsule endoscopy for screening tumor lesions in the small intestine.

Shibata H, Hashimoto S, Shimizu K, Kawasato R, Shirasawa T, Yokota T, Onoda H, Okamoto T, Nishikawa J, Matsunaga N, Sakaida I - Gastroenterol Res Pract (2015)

Bottom Line: The sensitivity of CTE/CE was 100%, again significantly higher than that of CE (P = 0.002).The diagnostic accuracy rate was also significantly higher in CTE/CE versus CTE (100% versus 95.9%, P = 0.043).Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan.

ABSTRACT
Aim. To compare the efficacy of using computed tomography enteroclysis/enterography (CTE), capsule endoscopy (CE), and CTE with CE for diagnosing tumor lesions in the small intestine. Materials and Methods. We included 98 patients who underwent CE during the observation period and were subjected to CTE at our hospital from April 2008 to May 2014. Results. CTE had a significantly higher sensitivity than CE (84.6% versus 46.2%, P = 0.039), but there were no significant differences in specificity, positive or negative predictive values, or diagnostic accuracy rates. The sensitivity of CTE/CE was 100%, again significantly higher than that of CE (P = 0.002). The difference in specificity between CTE/CE and CE was not significant, but there were significant differences in positive predictive values (100% for CTE/CE versus 66.7% for CE, P = 0.012), negative predictive values (100% versus 92.1%, P = 0.008), and diagnostic accuracy rate (100% versus 89.8%, P = 0.001). The diagnostic accuracy rate was also significantly higher in CTE/CE versus CTE (100% versus 95.9%, P = 0.043). Conclusion. Our findings suggested that a combination of CTE and CE was useful for screening tumor lesions in the small intestine. This trial is registered with number UMIN000016154.

No MeSH data available.


Related in: MedlinePlus

Findings from the computed tomography enteroclysis/enterography (CTE) and capsule endoscopy (CE). (a) Stained tumorous lesions in the small intestine detected by CTE and (b) submucosal tumor lesions confirmed by CE.
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Related In: Results  -  Collection


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fig1: Findings from the computed tomography enteroclysis/enterography (CTE) and capsule endoscopy (CE). (a) Stained tumorous lesions in the small intestine detected by CTE and (b) submucosal tumor lesions confirmed by CE.

Mentions: Figure 1 shows a case in which the tumor lesions (GISTs) were detected by both CTE and CE and were treated surgically. Figure 2 shows a case of Peutz-Jeghers syndrome; despite a tumor diameter >5 cm, the tumor could not be detected by CE. However, it was detected by CTE as a neoplastic lesion, and the tumor was then identified by BE; thus, polypectomy was performed.


Beneficial effects of combining computed tomography enteroclysis/enterography with capsule endoscopy for screening tumor lesions in the small intestine.

Shibata H, Hashimoto S, Shimizu K, Kawasato R, Shirasawa T, Yokota T, Onoda H, Okamoto T, Nishikawa J, Matsunaga N, Sakaida I - Gastroenterol Res Pract (2015)

Findings from the computed tomography enteroclysis/enterography (CTE) and capsule endoscopy (CE). (a) Stained tumorous lesions in the small intestine detected by CTE and (b) submucosal tumor lesions confirmed by CE.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4352445&req=5

fig1: Findings from the computed tomography enteroclysis/enterography (CTE) and capsule endoscopy (CE). (a) Stained tumorous lesions in the small intestine detected by CTE and (b) submucosal tumor lesions confirmed by CE.
Mentions: Figure 1 shows a case in which the tumor lesions (GISTs) were detected by both CTE and CE and were treated surgically. Figure 2 shows a case of Peutz-Jeghers syndrome; despite a tumor diameter >5 cm, the tumor could not be detected by CE. However, it was detected by CTE as a neoplastic lesion, and the tumor was then identified by BE; thus, polypectomy was performed.

Bottom Line: The sensitivity of CTE/CE was 100%, again significantly higher than that of CE (P = 0.002).The diagnostic accuracy rate was also significantly higher in CTE/CE versus CTE (100% versus 95.9%, P = 0.043).Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan.

ABSTRACT
Aim. To compare the efficacy of using computed tomography enteroclysis/enterography (CTE), capsule endoscopy (CE), and CTE with CE for diagnosing tumor lesions in the small intestine. Materials and Methods. We included 98 patients who underwent CE during the observation period and were subjected to CTE at our hospital from April 2008 to May 2014. Results. CTE had a significantly higher sensitivity than CE (84.6% versus 46.2%, P = 0.039), but there were no significant differences in specificity, positive or negative predictive values, or diagnostic accuracy rates. The sensitivity of CTE/CE was 100%, again significantly higher than that of CE (P = 0.002). The difference in specificity between CTE/CE and CE was not significant, but there were significant differences in positive predictive values (100% for CTE/CE versus 66.7% for CE, P = 0.012), negative predictive values (100% versus 92.1%, P = 0.008), and diagnostic accuracy rate (100% versus 89.8%, P = 0.001). The diagnostic accuracy rate was also significantly higher in CTE/CE versus CTE (100% versus 95.9%, P = 0.043). Conclusion. Our findings suggested that a combination of CTE and CE was useful for screening tumor lesions in the small intestine. This trial is registered with number UMIN000016154.

No MeSH data available.


Related in: MedlinePlus