Szalai M, Helle K, Lovász BD, Finta Á, Rosztóczy A, Oczella L, Madácsy L. First prospective European study for the feasibility and safety of magnetically controlled capsule endoscopy in gastric mucosal abnormalities. World J Gastroenterol 2022; 28(20): 2227-2242 [PMID: 35721886 DOI: 10.3748/wjg.v28.i20.2227]
Corresponding Author of This Article
László Madácsy, MD, PhD, Professor, Department of Gastroenterology, Endo-Kapszula Health Centre and Endoscopy Unit, No. 316 Budai Road, Székesfehérvár 8000, Hungary. endomabt1@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Gastroenterol. May 28, 2022; 28(20): 2227-2242 Published online May 28, 2022. doi: 10.3748/wjg.v28.i20.2227
Table 1 Indications of small bowel capsule endoscopy (grouped by gender)
All cases
Male
Female
Patient characteristics
n
284
149
135
Age (mean ± SD)
44.0 ± 13.3
44.0 ± 13.3
44.0 ± 13.3
BMI
26.5
27.1
25.5
Indications
OGiV
61 (21.5%)
30 (20.1%)
31 (22.9%)
Celiac disease
80 (28.2%)
40 (26.8%)
40 (29.7%)
Crohn’s or susp. Crohn’s
47 (16.5%)
31 (20.9%)
16 (11.9%)
Unexplained abdominal pain
92 (32.4%)
47 (31.5%)
45 (33.3%)
Susp. SB tumor
4 (1.4%)
1 (0.7%)
3 (2.2%)
13C urea breath test
No. of performed tests
110(38.7%)
56 (50.1%)
54 (49.1%)
Positive
36 (32.7%)
16 (44.4%)
20 (55.6%)
Negative
74 (67.3%)
40 (54%)
34 (46%)
Table 2 The results of Helicobacter pylori C13 urea breath tests
n
H. pylori positive
%
H. pylori negative
%
χ2
P value
Normal
30
7
23%
23
77%
0.9775
0.3228
NS
Minor proximalgastritis
19
9
47%
10
53%
1.529
0.2163
NS
Minor antralgastritis
19
4
21%
15
79%
1.0322
0.3096
NS
Active, erosive antralgastritis
15
6
40%
9
60%
0.3129
0.5759
NS
Proximal erosivegastritis
22
7
32%
15
68%
0.0069
0.9338
NS
Pangastritis (proximal and antral)
4
3
75%
1
25%
0.5
0.4795
NS
Total HP tested patients
110
36
33%
74
67%
-
-
-
Table 3 Mean gastric, small bowel, and overall transit times of magnetically controlled capsule endoscopy
Transit time
All cases
SD
Male
Female
Stomach
0 h 47 min 40 s
0 h 43 min 29 s
0 h 44 min 15 s
0 h 51 min 14 s
Small bowel
3 h 46 min 22 s
2 h 1 min 24 s
3 h 52 min 46 s
3 h 38 min 21 s
Total
5 h 48 min 35 s
1 h 50 min 49 s
5 h 46 min 37 s
5 h 50 min 18 s
Table 4 Diagnostic yield of magnetically controlled capsule endoscopy
Diagnostic yield
Major
Minor
Total
Total
38 (13.3%)
195 (68.6%)
233 (81.9%)
Gastric
14 (4.9%)
159 (55.9%)
173 (60.8%)
SB
24 (8.4%)
36 (12.7%)
60 (21.1%)
Table 5 Distribution of pathologies detected by magnetically controlled capsule endoscopy
Polyp ventriculi
Ulcus ventriculi
Coeliakia
Crohn
Gastritis
Small intestinal diverticula
Angiodysplasia
Aspecific infalmmation in small bowel
Major pathologies
5
9
1
23
159
1
26
9
Table 6 Distribution of different types of transpyloric transit in complete and incomplete small bowel studies
Cases (n)
Mean total transit time
Mean gastric transit time
Mean SB transit time
Transpyloric transit
With magnet by automatic protocol
With magnet manually
Without magnet
Total study population
284
5 h 48 min 35 s
0 h 47 min 40 s
3 h 46 min 22 s
56 (19.7%)
63 (22.2%)
165 (58.1%)
Incomplete studies
18 (6.3%)
7 h 13 min 41 s
0 h 52 min 35 s
6 h 19 min 51 s
2
5
11
The capsule depleted (> 5 h)
10 (3.5%)
9 h 12 min 9 s
0 h 46 min 5 s
8 h 26 min 4 s
0
3
7
The capsule depleted (< 5 h)
3 (1%)
2 h 23 min 25 s
0 h 24 min 9 s
1 h 51 min 22 s
1
0
2
The patient requested to terminate
3 (1%)
4 h 45 min 9 s
0 h 50 min 3 s
3 h 55 min 6 s
1
1
1
The capsule stopped because of a disease
2 (0.7%)
8 h 19 min 36 s
2 h 11 min 33 s
6 h 8 min 33 s
0
1
1
Citation: Szalai M, Helle K, Lovász BD, Finta Á, Rosztóczy A, Oczella L, Madácsy L. First prospective European study for the feasibility and safety of magnetically controlled capsule endoscopy in gastric mucosal abnormalities. World J Gastroenterol 2022; 28(20): 2227-2242