Esophageal Capsule Endoscopy for Screening Esophageal Varices among Japanese Patients with Liver Cirrhosis
Purpose. Although esophageal capsule endoscopy (ECE) is reportedly useful in the diagnosis of esophageal varices (EV), few reports have described the benefits of this technique in Asian countries. The present paper evaluates the usefulness of ECE for diagnosing EV in Japanese patients with cirrhosis...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/946169 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849306269147463680 |
|---|---|
| author | Haruya Ishiguro Shoichi Saito Hiroo Imazu Hiroyuki Aihara Tomohiro Kato Hisao Tajiri |
| author_facet | Haruya Ishiguro Shoichi Saito Hiroo Imazu Hiroyuki Aihara Tomohiro Kato Hisao Tajiri |
| author_sort | Haruya Ishiguro |
| collection | DOAJ |
| description | Purpose. Although esophageal capsule endoscopy (ECE) is reportedly useful in the diagnosis of esophageal varices (EV), few reports have described the benefits of this technique in Asian countries. The present paper evaluates the usefulness of ECE for diagnosing EV in Japanese patients with cirrhosis.
Methods. We examined 29 patients with cirrhosis (20 males and 9 females; mean age 60 years; Child-Pugh classification A/B/C; 14/14/1) using ECE followed by esophagogastroduodenoscopy (EGD). High-risk EV were defined as F2 and/or RC2 and above. Results. The sensitivity and specificity of ECE for the diagnosis of high-risk EV were 92% and 80%, respectively. Conclusions. The findings showed that ECE is a highly sensitive method of diagnosing high-risk EV that requires endoscopic or pharmacological therapy. Thus, ECE might be a useful method for the screening and followup of EV in patients with cirrhosis. |
| format | Article |
| id | doaj-art-3671961e1fab4c59bd52d2b4e59b5a20 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-3671961e1fab4c59bd52d2b4e59b5a202025-08-20T03:55:07ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/946169946169Esophageal Capsule Endoscopy for Screening Esophageal Varices among Japanese Patients with Liver CirrhosisHaruya Ishiguro0Shoichi Saito1Hiroo Imazu2Hiroyuki Aihara3Tomohiro Kato4Hisao Tajiri5Division of Gastroenterology and Hepatology, Department of Internal Medicine, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, JapanDepartment of Endoscopy, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, JapanDepartment of Endoscopy, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, JapanDepartment of Endoscopy, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, JapanDepartment of Endoscopy, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, JapanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, JapanPurpose. Although esophageal capsule endoscopy (ECE) is reportedly useful in the diagnosis of esophageal varices (EV), few reports have described the benefits of this technique in Asian countries. The present paper evaluates the usefulness of ECE for diagnosing EV in Japanese patients with cirrhosis. Methods. We examined 29 patients with cirrhosis (20 males and 9 females; mean age 60 years; Child-Pugh classification A/B/C; 14/14/1) using ECE followed by esophagogastroduodenoscopy (EGD). High-risk EV were defined as F2 and/or RC2 and above. Results. The sensitivity and specificity of ECE for the diagnosis of high-risk EV were 92% and 80%, respectively. Conclusions. The findings showed that ECE is a highly sensitive method of diagnosing high-risk EV that requires endoscopic or pharmacological therapy. Thus, ECE might be a useful method for the screening and followup of EV in patients with cirrhosis.http://dx.doi.org/10.1155/2012/946169 |
| spellingShingle | Haruya Ishiguro Shoichi Saito Hiroo Imazu Hiroyuki Aihara Tomohiro Kato Hisao Tajiri Esophageal Capsule Endoscopy for Screening Esophageal Varices among Japanese Patients with Liver Cirrhosis Gastroenterology Research and Practice |
| title | Esophageal Capsule Endoscopy for Screening Esophageal Varices among Japanese Patients with Liver Cirrhosis |
| title_full | Esophageal Capsule Endoscopy for Screening Esophageal Varices among Japanese Patients with Liver Cirrhosis |
| title_fullStr | Esophageal Capsule Endoscopy for Screening Esophageal Varices among Japanese Patients with Liver Cirrhosis |
| title_full_unstemmed | Esophageal Capsule Endoscopy for Screening Esophageal Varices among Japanese Patients with Liver Cirrhosis |
| title_short | Esophageal Capsule Endoscopy for Screening Esophageal Varices among Japanese Patients with Liver Cirrhosis |
| title_sort | esophageal capsule endoscopy for screening esophageal varices among japanese patients with liver cirrhosis |
| url | http://dx.doi.org/10.1155/2012/946169 |
| work_keys_str_mv | AT haruyaishiguro esophagealcapsuleendoscopyforscreeningesophagealvaricesamongjapanesepatientswithlivercirrhosis AT shoichisaito esophagealcapsuleendoscopyforscreeningesophagealvaricesamongjapanesepatientswithlivercirrhosis AT hirooimazu esophagealcapsuleendoscopyforscreeningesophagealvaricesamongjapanesepatientswithlivercirrhosis AT hiroyukiaihara esophagealcapsuleendoscopyforscreeningesophagealvaricesamongjapanesepatientswithlivercirrhosis AT tomohirokato esophagealcapsuleendoscopyforscreeningesophagealvaricesamongjapanesepatientswithlivercirrhosis AT hisaotajiri esophagealcapsuleendoscopyforscreeningesophagealvaricesamongjapanesepatientswithlivercirrhosis |