Spiral Enteroscopy Utilizing Capsule Location Index for Achieving High Diagnostic and Therapeutic Yield

Rohan Mandaliya, Jason Korenblit, Brendan O'Hare, Anastasia Shnitser, Ramalinga Kedika, Rebecca Matro, Dina Halegoua-De Marzio, Anthony Infantolino, Mitchell Conn

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background and Aim. Spiral enteroscopy (SE) is a new small bowel endoscopic technique. Our aim is to review the diagnostic and therapeutic yield, safety of SE, and the predictive role of prior capsule endoscopy (CE) at an academic center. Methods. A retrospective review of patients undergoing SE after prior CE between 2008 and 2013 was performed. Capsule location index (CLI) was defined as the fraction of total small bowel transit time when the lesion was seen on CE. Results. A total of 174 SEs were performed: antegrade (147) and retrograde (27). Abnormalities on SE were detected in 65% patients. The procedure was safe in patients with surgically altered bowel anatomy (n=12). The diagnostic yield of antegrade SE decreased with increasing CLI range. The diagnostic yield of retrograde SE decreased on decreasing CLI range. A CLI cutoff of 0.6 was derived that determined the initial route of SE. Vascular ectasias seen on CE were detected in 83% cases on SE; p

Original languageEnglish (US)
Article number793516
JournalDiagnostic and Therapeutic Endoscopy
Volume2015
DOIs
StatePublished - 2015
Externally publishedYes

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Capsule Endoscopy
Capsules
Pathologic Dilatations
Therapeutics
Blood Vessels
Anatomy
Safety

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Spiral Enteroscopy Utilizing Capsule Location Index for Achieving High Diagnostic and Therapeutic Yield. / Mandaliya, Rohan; Korenblit, Jason; O'Hare, Brendan; Shnitser, Anastasia; Kedika, Ramalinga; Matro, Rebecca; Halegoua-De Marzio, Dina; Infantolino, Anthony; Conn, Mitchell.

In: Diagnostic and Therapeutic Endoscopy, Vol. 2015, 793516, 2015.

Research output: Contribution to journalArticle

Mandaliya, R, Korenblit, J, O'Hare, B, Shnitser, A, Kedika, R, Matro, R, Halegoua-De Marzio, D, Infantolino, A & Conn, M 2015, 'Spiral Enteroscopy Utilizing Capsule Location Index for Achieving High Diagnostic and Therapeutic Yield', Diagnostic and Therapeutic Endoscopy, vol. 2015, 793516. https://doi.org/10.1155/2015/793516
Mandaliya, Rohan ; Korenblit, Jason ; O'Hare, Brendan ; Shnitser, Anastasia ; Kedika, Ramalinga ; Matro, Rebecca ; Halegoua-De Marzio, Dina ; Infantolino, Anthony ; Conn, Mitchell. / Spiral Enteroscopy Utilizing Capsule Location Index for Achieving High Diagnostic and Therapeutic Yield. In: Diagnostic and Therapeutic Endoscopy. 2015 ; Vol. 2015.
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abstract = "Background and Aim. Spiral enteroscopy (SE) is a new small bowel endoscopic technique. Our aim is to review the diagnostic and therapeutic yield, safety of SE, and the predictive role of prior capsule endoscopy (CE) at an academic center. Methods. A retrospective review of patients undergoing SE after prior CE between 2008 and 2013 was performed. Capsule location index (CLI) was defined as the fraction of total small bowel transit time when the lesion was seen on CE. Results. A total of 174 SEs were performed: antegrade (147) and retrograde (27). Abnormalities on SE were detected in 65{\%} patients. The procedure was safe in patients with surgically altered bowel anatomy (n=12). The diagnostic yield of antegrade SE decreased with increasing CLI range. The diagnostic yield of retrograde SE decreased on decreasing CLI range. A CLI cutoff of 0.6 was derived that determined the initial route of SE. Vascular ectasias seen on CE were detected in 83{\%} cases on SE; p",
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AU - Korenblit, Jason

AU - O'Hare, Brendan

AU - Shnitser, Anastasia

AU - Kedika, Ramalinga

AU - Matro, Rebecca

AU - Halegoua-De Marzio, Dina

AU - Infantolino, Anthony

AU - Conn, Mitchell

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