Academic Journal
View in EDS

Assessment of the Role of a Second Evaluation of Capsule Endoscopy Recordings to Improve Diagnostic Yield and Patient Management

Bibliographic Details
Title: Assessment of the Role of a Second Evaluation of Capsule Endoscopy Recordings to Improve Diagnostic Yield and Patient Management
Authors: Gerardo Blanco-Velasco, Rolando Pinho, Omar Michel Solórzano-Pineda, Claudia Martínez-Camacho, Luis Fernando García-Contreras, Enrique Murcio-Pérez, Oscar Victor Hernández-Mondragón
Source: GE: Portuguese Journal of Gastroenterology, Pp 1-5 (2021)
Publisher Information: Karger Publishers, 2021.
Publication Year: 2021
Collection: LCC:Diseases of the digestive system. Gastroenterology
Subject Terms: capsule endoscopy, small-bowel bleeding, crohn’s disease, Diseases of the digestive system. Gastroenterology, RC799-869
More Details: Introduction: The diagnostic yield (DY) of small-bowel capsule endoscopy (SBCE) varies considerably according to its indication. Some strategies have been used to increase DY with varying results. The intention of this study was to identify whether evaluation of the SBCE recordings by a second reviewer can increase DY and change patient management. Methods: One hundred SBCEs with different indications, already read by an endoscopist were read by a second blinded endoscopist. When the results of the 2 readings were different, the images were discussed by the endoscopists; if no consensus was reached, they took the opinion of a third endoscopist into account. All the participating endoscopists had experience in reading SBCEs (i.e., >50 per year). The SBCE findings were divided into positive (vascular lesions, ulcers, and tumors), equivocal (erosions or red spots), and negative. The interobserver agreement and the increase in DY were assessed as well as the percentage of false-negatives (FNs) in the first evaluation. Results: The indications for SBCE were small-bowel bleeding (SBB) in 48 cases, Crohn’s disease (CD) in 30, and other causes (iron-deficiency anemia, small-bowel tumors, and diarrhea) in 22. There was substantial interobserver agreement between evaluations (κ = 0.79). The findings in the first evaluation were positive in 60%, equivocal in 20% and, negative in 20%. In the second evaluation, 66% were positive, 18% were equivocal, and 16% were negative. The increase in DY with the second reading was 6% (p = 0.380), i.e., 6.3% for SBB, 4.4% for CD and 9.2% for other indications, resulting in a change in management of 4% of the patients. FNs in the first SBCE reading were found in 4% of the SBCEs. Discussion: A second evaluation of the SBCE recordings identified significant pathology that the first evaluation had missed, resulting in a nonsignificant 6% increase in DY and a change in the management of 4% of the patients.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2341-4545
2387-1954
Relation: https://www.karger.com/Article/FullText/516947; https://doaj.org/toc/2341-4545; https://doaj.org/toc/2387-1954
DOI: 10.1159/000516947
Access URL: https://doaj.org/article/b3006fd98f32484dbea67c1ed6db805d
Accession Number: edsdoj.b3006fd98f32484dbea67c1ed6db805d
Database: Directory of Open Access Journals
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://resolver.ebsco.com/c/xy5jbn/result?sid=EBSCO:edsdoj&genre=article&issn=23414545&ISBN=&volume=&issue=&date=20210601&spage=1&pages=1-5&title=GE: Portuguese Journal of Gastroenterology&atitle=Assessment%20of%20the%20Role%20of%20a%20Second%20Evaluation%20of%20Capsule%20Endoscopy%20Recordings%20to%20Improve%20Diagnostic%20Yield%20and%20Patient%20Management&aulast=Gerardo%20Blanco-Velasco&id=DOI:10.1159/000516947
    Name: Full Text Finder (for New FTF UI) (s8985755)
    Category: fullText
    Text: Find It @ SCU Libraries
    MouseOverText: Find It @ SCU Libraries
  – Url: https://doaj.org/article/b3006fd98f32484dbea67c1ed6db805d
    Name: EDS - DOAJ (s8985755)
    Category: fullText
    Text: View record from DOAJ
    MouseOverText: View record from DOAJ
Header DbId: edsdoj
DbLabel: Directory of Open Access Journals
An: edsdoj.b3006fd98f32484dbea67c1ed6db805d
RelevancyScore: 949
AccessLevel: 3
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 948.737243652344
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Assessment of the Role of a Second Evaluation of Capsule Endoscopy Recordings to Improve Diagnostic Yield and Patient Management
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Gerardo+Blanco-Velasco%22">Gerardo Blanco-Velasco</searchLink><br /><searchLink fieldCode="AR" term="%22Rolando+Pinho%22">Rolando Pinho</searchLink><br /><searchLink fieldCode="AR" term="%22Omar+Michel+Solórzano-Pineda%22">Omar Michel Solórzano-Pineda</searchLink><br /><searchLink fieldCode="AR" term="%22Claudia+Martínez-Camacho%22">Claudia Martínez-Camacho</searchLink><br /><searchLink fieldCode="AR" term="%22Luis+Fernando+García-Contreras%22">Luis Fernando García-Contreras</searchLink><br /><searchLink fieldCode="AR" term="%22Enrique+Murcio-Pérez%22">Enrique Murcio-Pérez</searchLink><br /><searchLink fieldCode="AR" term="%22Oscar+Victor+Hernández-Mondragón%22">Oscar Victor Hernández-Mondragón</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: GE: Portuguese Journal of Gastroenterology, Pp 1-5 (2021)
– Name: Publisher
  Label: Publisher Information
  Group: PubInfo
  Data: Karger Publishers, 2021.
– Name: DatePubCY
  Label: Publication Year
  Group: Date
  Data: 2021
– Name: Subset
  Label: Collection
  Group: HoldingsInfo
  Data: LCC:Diseases of the digestive system. Gastroenterology
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22capsule+endoscopy%22">capsule endoscopy</searchLink><br /><searchLink fieldCode="DE" term="%22small-bowel+bleeding%22">small-bowel bleeding</searchLink><br /><searchLink fieldCode="DE" term="%22crohn%27s+disease%22">crohn’s disease</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases+of+the+digestive+system%2E+Gastroenterology%22">Diseases of the digestive system. Gastroenterology</searchLink><br /><searchLink fieldCode="DE" term="%22RC799-869%22">RC799-869</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: Introduction: The diagnostic yield (DY) of small-bowel capsule endoscopy (SBCE) varies considerably according to its indication. Some strategies have been used to increase DY with varying results. The intention of this study was to identify whether evaluation of the SBCE recordings by a second reviewer can increase DY and change patient management. Methods: One hundred SBCEs with different indications, already read by an endoscopist were read by a second blinded endoscopist. When the results of the 2 readings were different, the images were discussed by the endoscopists; if no consensus was reached, they took the opinion of a third endoscopist into account. All the participating endoscopists had experience in reading SBCEs (i.e., >50 per year). The SBCE findings were divided into positive (vascular lesions, ulcers, and tumors), equivocal (erosions or red spots), and negative. The interobserver agreement and the increase in DY were assessed as well as the percentage of false-negatives (FNs) in the first evaluation. Results: The indications for SBCE were small-bowel bleeding (SBB) in 48 cases, Crohn’s disease (CD) in 30, and other causes (iron-deficiency anemia, small-bowel tumors, and diarrhea) in 22. There was substantial interobserver agreement between evaluations (κ = 0.79). The findings in the first evaluation were positive in 60%, equivocal in 20% and, negative in 20%. In the second evaluation, 66% were positive, 18% were equivocal, and 16% were negative. The increase in DY with the second reading was 6% (p = 0.380), i.e., 6.3% for SBB, 4.4% for CD and 9.2% for other indications, resulting in a change in management of 4% of the patients. FNs in the first SBCE reading were found in 4% of the SBCEs. Discussion: A second evaluation of the SBCE recordings identified significant pathology that the first evaluation had missed, resulting in a nonsignificant 6% increase in DY and a change in the management of 4% of the patients.
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: article
– Name: Format
  Label: File Description
  Group: SrcInfo
  Data: electronic resource
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: ISSN
  Label: ISSN
  Group: ISSN
  Data: 2341-4545<br />2387-1954
– Name: NoteTitleSource
  Label: Relation
  Group: SrcInfo
  Data: https://www.karger.com/Article/FullText/516947; https://doaj.org/toc/2341-4545; https://doaj.org/toc/2387-1954
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1159/000516947
– Name: URL
  Label: Access URL
  Group: URL
  Data: <link linkTarget="URL" linkTerm="https://doaj.org/article/b3006fd98f32484dbea67c1ed6db805d" linkWindow="_blank">https://doaj.org/article/b3006fd98f32484dbea67c1ed6db805d</link>
– Name: AN
  Label: Accession Number
  Group: ID
  Data: edsdoj.b3006fd98f32484dbea67c1ed6db805d
PLink https://login.libproxy.scu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=edsdoj&AN=edsdoj.b3006fd98f32484dbea67c1ed6db805d
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1159/000516947
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 5
        StartPage: 1
    Subjects:
      – SubjectFull: capsule endoscopy
        Type: general
      – SubjectFull: small-bowel bleeding
        Type: general
      – SubjectFull: crohn’s disease
        Type: general
      – SubjectFull: Diseases of the digestive system. Gastroenterology
        Type: general
      – SubjectFull: RC799-869
        Type: general
    Titles:
      – TitleFull: Assessment of the Role of a Second Evaluation of Capsule Endoscopy Recordings to Improve Diagnostic Yield and Patient Management
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Gerardo Blanco-Velasco
      – PersonEntity:
          Name:
            NameFull: Rolando Pinho
      – PersonEntity:
          Name:
            NameFull: Omar Michel Solórzano-Pineda
      – PersonEntity:
          Name:
            NameFull: Claudia Martínez-Camacho
      – PersonEntity:
          Name:
            NameFull: Luis Fernando García-Contreras
      – PersonEntity:
          Name:
            NameFull: Enrique Murcio-Pérez
      – PersonEntity:
          Name:
            NameFull: Oscar Victor Hernández-Mondragón
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 06
              Type: published
              Y: 2021
          Identifiers:
            – Type: issn-print
              Value: 23414545
            – Type: issn-print
              Value: 23871954
          Titles:
            – TitleFull: GE: Portuguese Journal of Gastroenterology
              Type: main
ResultId 1