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Copyright ©2008 The WJG Press and Baishideng.
World J Gastroenterol. Sep 14, 2008; 14(34): 5269-5273
Published online Sep 14, 2008. doi: 10.3748/wjg.14.5269
Table 1 Summary of the main seria on Patency Capsule (%)
AuthorInclusion criterianDiagnosis known or suspected before PillcamCapsule integrity at egestionPts with uneventful PillCam after PC excreted intact
Spada et al[24] 2005Suspected or confirmed small bowel stricture based on radiological exams34Crohn's disease: 30/34 (88.23)30/34 (88.23)10/10 (100)
Adhesional syndrome: 3/34 (8.82)
Ischemic enteritis: 1/34 (2.94)
Boivin et al[25] 2005Obstructive small bowel symptoms, and/or radiographic evidence of structuring small bowel disease22Crohn's disease: 15/22 (68.18)16/22 (72.73)13/13 (100)
Adhesional syndrome: 4/22 (18.18)
Others: 3/22 (13.64)
Delvaux et al[26] 2005Suspected or confirmed small bowel stricture based on either clinical background or radiological exams22Crohn's disease: 12/22 (54.54)16/22 (72.73)5/5 (100)
NSAIDs stricture: 3/22 (13.64)
Tumors: 3/22 (13.64)
Others: 4/22 (18.18)
Signorelli et al[27] 2006Risk of capsule retention because of clinical background or radiological exams32Crohn's disease: 18/32 (56.25)26/32 (81.25)25/25 (100)
Intestinal surgery: 7/32 (21.87)
Others: 7/32 (21.87)
Caunedo et al[28] 2003Suspected or confirmed small bowel stricture based on radiological exams29Crohn's disease: 15/29 (51.72)13/29 (44.83)12/12 (100)
Adhesional syndrome: 6/29 (20.69)
Tumors: 3/29 (10.34)
Others: 5/29 (17.24)
Spada et al[31] 2007Radiologic findings suggesting small bowel stricture without clinical evidence of obstruction27Crohn's disease: 24/27 (88.89)15/27 (55.55)15/15 (100)
Adhesional syndrome: 2/27 (7.41)
Ischemic enteritis: 1/27 (3.70)
Total166Crohn's disease: 114/166 (68.67)116/166 (69.88)80/80 (100)
Adhesional syndrome: 15/166 (9.04)
Tumors: 6/166 (3.61)
Intestinal surgery: 7/166 (4.22)
Others: 24/166 (14.46)
Table 2 Complications reported in the main seria on Patency Capsule (%)
AuthorPts with abdominal pain during procedureSeverity of adverse event (abdominal pain)Action taken
Spada et al[24] 20056/34 (17.64)Mild: 5/34 (14.71)Nothing: 5/34 (14.71)
Moderate: 0/34 (0)Medical therapy: 1/34 (2.94)
Severe: 1/34 (2.94)Surgery: 0/34 (0)
Boivin et al[25] 20056/22 (27.27)Mild: 1/22 (4.54)Nothing or medical therapy: 5/22 (22.73)
Moderate: 1/22 (4.54)Surgery: 1/22 (4.54)
Severe: 4/22 (18.18)
Delvaux et al[26] 20053/22 (13.64)Mild: 1/22 (4.54)Nothing: 1/22 (4.54)
Moderate: 0/22 (0)Medical therapy: 0/22 (0)
Severe: 2/22 (9.09)Surgery: 2/22 (9.09)
Signorelli et al[27] 20062/32 (6.25)Mild: 2/32 (1.44)Nothing: 2/32 (1.44)
Moderate: 0/32 (0)Medical therapy: 0/32 (0)
Severe: 0/32 (0)Surgery: 0/32 (0)
Caunedo et al[28] 200310/29 (34.48)Mild: 4/29 (13.79)Nothing: 3/29 (10.35)
Moderate: 4/29 (13.79)Medical therapy: 7/29 (24.14)
Severe: 2/29 (6.90)Surgery: 0/29 (0)
Spada et al[31] 20076/27 (22.22)Mild: 5/27 (18.52)Nothing or medical therapy: 5/27 (18.52)
Moderate: 0/27 (0)Surgery: 1/27 (3.70)
Severe: 1/27 (3.70)
Total33/166 (19.88)Mild: 18/166 (10.84)Nothing or medical therapy: 29/166 (17.47)
Moderate: 5/166 (3.01)Surgery: 4/166 (2.41)
Severe: 10/166 (6.02)