본문 바로가기
KERD
논문KCI 등재

Effectiveness of Capsule Endoscopy Compared with Other Diagnostic Modalities in Patients with Small Bowel Crohn’s Disease: A Meta-Analysis

이선희|임성운|최명규|심기남|최미영
거트앤리버 소화기연관학회협의회|2017.01|Gut and Liver|제11권 제1호|pp. 62-72

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

Crohn diseaseCapsule endoscopysmallIntestineDiagnostic yieldMetaanalysis

초록

Background/Aims: As a result of the rapid development of medical diagnostic tools, physicians require concrete evidence to evaluate the effectiveness of the tools. We aimed to investigate the effectiveness and additional diagnostic benefits of capsule endoscopy (CE) in patients with small bowel Crohn’s disease (CD). Methods: We performed a systematic search of databases, including MEDLINE, EMBASE, and the Cochrane Library, as well as eight domestic databases. Two reviewers independently screened all references. Diagnostic data from the studies were collected, and a meta-analysis was performed. Results: Twenty-four studies were included. In cases of suspected CD, CE demonstrated a superior diagnostic yield compared with small bowel follow-through (SBFT) and enteroclysis (EC); however, there was no difference compared with computed tomography enterography or magnetic resonance enterography. In cases with established CD, CE demonstrated a higher diagnostic yield only compared with EC. In the detection of terminal ileum lesions, CE exhibited a significantly increased detection rate compared with ileoscopy. Conclusions: The findings of our meta-analysis indicate that CE is superior to SBFT and EC in the evaluation of suspected CD cases. CE is also a more effective diagnostic modality in patients with established CD compared with EC.

Abstract

Background/Aims: As a result of the rapid development of medical diagnostic tools, physicians require concrete evidence to evaluate the effectiveness of the tools. We aimed to investigate the effectiveness and additional diagnostic benefits of capsule endoscopy (CE) in patients with small bowel Crohn’s disease (CD). Methods: We performed a systematic search of databases, including MEDLINE, EMBASE, and the Cochrane Library, as well as eight domestic databases. Two reviewers independently screened all references. Diagnostic data from the studies were collected, and a meta-analysis was performed. Results: Twenty-four studies were included. In cases of suspected CD, CE demonstrated a superior diagnostic yield compared with small bowel follow-through (SBFT) and enteroclysis (EC); however, there was no difference compared with computed tomography enterography or magnetic resonance enterography. In cases with established CD, CE demonstrated a higher diagnostic yield only compared with EC. In the detection of terminal ileum lesions, CE exhibited a significantly increased detection rate compared with ileoscopy. Conclusions: The findings of our meta-analysis indicate that CE is superior to SBFT and EC in the evaluation of suspected CD cases. CE is also a more effective diagnostic modality in patients with established CD compared with EC.

참고문헌 (40)

  1. Baumgart DC, "Crohn’s disease", Lancet, 380, pp.1590~1605 (2012)
  2. Gower-Rousseau C, "Epidemiology of inflammatory bowel diseases: new insights from a French population-based registry (EPIMAD)", Dig Liver Dis, 45, pp.89~94 (2013)
  3. Nuij VJ, "Phenotype of inflammatory bowel disease at diagnosis in the Netherlands: a population-based inception cohort study (the Delta Cohort)", Inflamm Bowel Dis, 19, pp.2215~2222 (2013)
  4. Sjöberg D, "Incidence and clinical course of Crohn’s disease during the first year-results from the IBD Cohort of the Uppsala Region (ICURE) of Sweden 2005-2009", J Crohns Colitis, 8, pp.215~222 (2009)
  5. Yang SK, "Epidemiology of inflammatory bowel disease in the Songpa-Kangdong district, Seoul, Korea, 1986-2005: a KASID study", Inflamm Bowel Dis, 14, pp.542~549 (2008)
  6. Abdul-Baki H, "Clinical epidemiology of inflammatory bowel disease in Lebanon", Inflamm Bowel Dis, 13, pp.475~480 (2007)
  7. Triester SL, "A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with non-stricturing small bowel Crohn’s disease", Am J Gastroenterol, 101, pp.954~964 (2006)
  8. Dionisio PM, "Capsule endoscopy has a significantly higher diagnostic yield in patients with suspected and established small-bowel Crohn’s disease: a metaanalysis", Am J Gastroenterol, 105, pp.1240~1248 (2010)
  9. Whiting PF, "QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies", Ann Intern Med, 155, pp.529~536 (2011)
  10. Higgins JP, "Cochrane handbook for systematic reviews of interventions" (2008), Wiley-Blackwell
  11. Costamagna G, "A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease", Gastroenterology, 123, pp.999~1005 (2002)
  12. Buchman AL, "Videocapsule endoscopy versus barium contrast studies for the diagnosis of Crohn’s disease recurrence involving the small intestine", Am J Gastroenterol, 99, pp.2171~2177 (2004)
  13. Eliakim R, "Wireless capsule video endoscopy compared to barium follow-through and computerised tomography in patients with suspected Crohn’s disease:final report", Dig Liver Dis, 36, pp.519~522 (2004)
  14. Albert JG, "Diagnosis of small bowel Crohn’s disease: a prospective comparison of capsule endoscopy with magnetic resonance imaging and fluoroscopic enteroclysis", Gut, 54, pp.1721~1727 (2005)
  15. Chong AK, "Capsule endoscopy vs. push enteroscopy and enteroclysis in suspected small-bowel Crohn’s disease", Gastrointest Endosc, 61, pp.255~261 (2005)
  16. Dubcenco E, "Capsule endoscopy findings in patients with established and suspected smallbowel Crohn’s disease: correlation with radiologic, endoscopic, and histologic findings", Gastrointest Endosc, 62, pp.538~544 (2005)
  17. Marmo R, "Capsule endoscopy versus enteroclysis in the detection of small-bowel involvement in Crohn’s disease: a prospective trial", Clin Gastroenterol Hepatol, 3, pp.772~776 (2005)
  18. Voderholzer WA, "Small bowel involvement in Crohn’s disease: a prospective comparison of wireless capsule endoscopy and computed tomography enteroclysis", Gut, 54, pp.369~373 (2005)
  19. Bourreille A, "Wireless capsule endoscopy versus ileocolonoscopy for the diagnosis of postoperative recurrence of Crohn’s disease: a prospective study", Gut, 55, pp.978~983 (2006)
  20. Gölder SK, "Comparison of capsule endoscopy and magnetic resonance (MR) enteroclysis in suspected small bowel disease", Int J Colorectal Dis, 21, pp.97~104 (2006)
  21. Hara AK, "Crohn disease of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy", Radiology, 238, pp.128~134 (2006)
  22. Biancone L, "Wireless capsule endoscopy and small intestine contrast ultrasonography in recurrence of Crohn’s disease", Inflamm Bowel Dis, 13, pp.1256~1265 (2007)
  23. Park CH, "Utility of capsule endoscopy for the classification of Crohn’s disease: a multicenter study in Korea", Dig Dis Sci, 52, pp.1405~1409 (2007)
  24. Pons Beltrán V, "Evaluation of postsurgical recurrence in Crohn’s disease: a new indication for capsule endoscopy?", Gastrointest Endosc, 66, pp.533~540 (2007)
  25. Solem CA, "Small-bowel imaging in Crohn’s disease: a prospective, blinded, 4-way comparison trial", Gastrointest Endosc, 68, pp.255~266 (2008)
  26. Tillack C, "Correlation of magnetic resonance enteroclysis (MRE) and wireless capsule endoscopy (CE) in the diagnosis of small bowel lesions in Crohn’s disease", Inflamm Bowel Dis, 14, pp.1219~1228 (2008)
  27. Crook DW, "Comparison of magnetic resonance enterography and video capsule endoscopy in evaluating small bowel disease", Eur J Gastroenterol Hepatol, 21, pp.54~65 (2009)
  28. Efthymiou A, "Wireless capsule endoscopy versus enteroclysis in the diagnosis of small-bowel Crohn’s disease", Eur J Gastroenterol Hepatol, 21, pp.866~871 (2009)
  29. Rajesh A, "Comparison of capsule endoscopy with enteroclysis in the investigation of small bowel disease", Abdom Imaging, 34, pp.459~466 (2009)
  30. Böcker U, "Comparison of magnetic resonance imaging and video capsule enteroscopy in diagnosing small-bowel pathology: localization-dependent diagnostic yield", Scand J Gastroenterol, 45, pp.490~500 (2010)
  31. Jensen MD, "Diagnostic accuracy of capsule endoscopy for small bowel Crohn’s disease is superior to that of MR enterography or CT enterography", Clin Gastroenterol Hepatol, 9, pp.124~129 (2011)
  32. Petruzziello C, "Small bowel capsule endoscopy vs conventional techniques in patients with symptoms highly compatible with Crohn’s disease", J Crohns Colitis, 5, pp.139~147 (2011)
  33. Wiarda BM, "Small bowel Crohn’s disease: MR enteroclysis and capsule endoscopy compared to balloon-assisted enteroscopy", Abdom Imaging, 37, pp.397~403 (2012)
  34. Wiarda BM, "Patient burden and patient preference: comparing magnetic resonance", J Gastroenterol Hepatol, 28, pp.464~471 (2013)
  35. 박수경, "Guidelines for Video Capsule Endoscopy: Emphasis on Crohn’s Disease", Clinical Endoscopy, 48(2), pp.128~135 (2015), 대한소화기내시경학회
  36. Bourreille A, "Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED-ECCO consensus", Endoscopy, 41, pp.618~637 (2009)
  37. Makoto Naganuma, "Recent trends in diagnostic techniques for inflammatory bowel disease", The Korean Journal of Internal Medicine, 30(3), pp.271~278 (2015), 대한내과학회[DOI]
  38. Liao Z, "Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review", Gastrointest Endosc, 71, pp.280~286 (2010)
  39. Cheon JH, "Can we predict spontaneous capsule passage after retention? A nationwide study to evaluate the incidence and clinical outcomes of capsule retention", Endoscopy, 39, pp.1046~1052 (2007)
  40. Goldstein JL, "Video capsule endoscopy to prospectively assess small bowel injury with celecoxib, naproxen plus omeprazole, and placebo", Clin Gastroenterol Hepatol, 3, pp.133~141 (2005)

관련 논문AI추천

Is Effective of Capsule Endoscopy Compared to Other Diagnostic Modalities in Patients with Small Bowel Crohn’s Disease?장병익거트앤리버 소화기연관학회협의회 · Gut and Liver2017 · 제11권 제1호Diagnostic Accuracy of Fecal Calprotectin for the Detection of Small Bowel Crohn's Disease through Capsule Endoscopy: An Updated Meta-Analysis and Systematic Review계세협, 김정한, 김형수, 이상표, 장현주, Jung Eun Suk거트앤리버 소화기연관학회협의회 · Gut and Liver2021 · 제15권 제5호Optimal Diagnostic Approaches for Patients with Suspected Small Bowel Disease문원, 김재현대한소화기내시경학회 · Clinical Endoscopy2016 · 제49권 제4호The Role of Capsule Endoscopy in the Diagnosis of Crohn’s DiseaseKang Won Rhee대한소아소화기영양학회 · Pediatric Gastroenterology, Hepatology & Nutrition2012 · 제15권 제1호A Look into the Small Bowel in Crohn’s Disease김원호, 박수정대한소화기내시경학회 · Clinical Endoscopy2012 · 제45권 제3호Capsule enteroscopy versus small-bowel ultrasonography for the detection and differential diagnosis of intestinal diseasesAndrea Costantino, Erica Centorrino, Luca Elli, Maurizio Vecchi, Mirella Fraquelli, Stefania Orlando대한소화기내시경학회 · Clinical Endoscopy2022 · 제55권 제4호

이 간행물의 다른 논문 (26건)

Investigation of Factors Affecting Clinical Outcomes after Stent Placement in Malignant Obstruction of the Esophagus or the Gastric Cardia정지봉, 안동원pp. 1-2Is the Therapeutic Drug Monitoring of Anti-TNF Agents Necessary in Korean Inflammatory Bowel Disease Patients?은창수pp. 3-4Is Effective of Capsule Endoscopy Compared to Other Diagnostic Modalities in Patients with Small Bowel Crohn’s Disease?장병익pp. 5-6Role of Smoking as a Risk Factor in East Asian Patients with Crohn's Disease박성철, 진윤태pp. 7-8Another Face of Contrast-Enhanced Ultrasonography: A Diagnostic Tool for Cirrhosis정승원pp. 9-10
원문 보기