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Endoscopy 2007; 39(10): 910-912
DOI: 10.1055/s-2007-966780
Case report

© Georg Thieme Verlag KG Stuttgart · New York

Heads or tails, does it make a difference? Capsule endoscope direction in small bowel studies is important

S.  N.  Adler1 , Y.  C.  Metzger2
  • 1Division of Gastroenterology, Bikur Holim Hospital, Jerusalem, Israel
  • 2School of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel
Further Information

Publication History

submitted 26 March 2007

accepted after revision 13 June 2007

Publication Date:
29 October 2007 (online)

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Capsule endoscopy has opened the small bowel for direct inspection. However, the diagnostic sensitivity of capsule endoscopy is not 100 %. We have observed that forward orientation and backward orientation of the camera in the small bowel provide different information on pathological findings. Double-head capsule endoscopy may offer the answer to this problem.

References

  • 1 Gralnek I M, DeFranchis R, Seidman E. et al . Development and validation of a capsule endoscopy scoring index for small intestinal mucosal disease activity: the Lewis score.  Am J Gastroenterol. 2006;  101 (Suppl 2) 466
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  • 2 Rex D K, Cutler C S, Lemmel G T. et al . Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies.  Gastroenterology. 1997;  112 24-28
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  • 3 Triadafilopoulos G, Watts D, Higgins J, van Dam J. A novel retrograde-viewing auxiliary imaging device (”Third Eye Retroscope(™)“) improves the detection of simulated polyps in anatomical models of the colon.  Gastrointest Endosc. 2006;  63 AB103
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S. N. Adler, MD

Gastroenterology

Bikur Holim Hospital

5 Strauss Street

POB 492

Jerusalem 91004

Israel

Fax: +972-2-6464378

Email: samadler@inter.net.il

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