Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy
Capsule endoscopy is a highly sensitive method for the detection of small bowel lesions. False-positive findings are important confounding factors. This study reports on a scoring system for evaluating the role of capsule endoscopy in small bowel tumors. Methods: Ten men and two women (age, 23–79 ye...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2009-07-01
|
| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664609603703 |
| _version_ | 1819264735285084160 |
|---|---|
| author | Li-Rung Shyung Shee-Chan Lin Shou-Chuan Shih Wen-Hsiung Chang Cheng-Hsin Chu Tsang-En Wang |
| author_facet | Li-Rung Shyung Shee-Chan Lin Shou-Chuan Shih Wen-Hsiung Chang Cheng-Hsin Chu Tsang-En Wang |
| author_sort | Li-Rung Shyung |
| collection | DOAJ |
| description | Capsule endoscopy is a highly sensitive method for the detection of small bowel lesions. False-positive findings are important confounding factors. This study reports on a scoring system for evaluating the role of capsule endoscopy in small bowel tumors.
Methods: Ten men and two women (age, 23–79 years) with suspected small bowel tumors were included from 120 patients referred for capsule endoscopy between March 2004 and March 2008. The indications were gastrointestinal bleeding (n = 9), melanoma workup (n = 1), physical checkup (n = 1), and iron deficiency anemia (n = 1). The proposed tumor score was composed of five components: bleeding, mucosal disruption, an irregular surface, color, and white villi. These can be scored for probability of mass lesions seen at capsule endoscopy. Small bowel mass lesions were probably present in those with a score of ≥ 4, and a score of ≤ 2 indicated a low probability of a small bowel mass lesion.
Results: Capsule endoscopy showed probable small bowel mass lesions in six patients, and a low lesion probability in the other six. Capsule endoscopy showed that new lesions were not detected by esophagogastroduodenoscopy or colonoscopy. All six patients with probable small bowel tumors were found to have pathological findings upon capsule endoscopy: two with lymphangioma, and one each with ileal ectopic pancreas, with melanoma metastasis, gastrointestinal lymphoma, and gastrointestinal stromal tumor.
Conclusion: Capsule endoscopy may detect small bowel tumors more reliably by using the scoring system outlined. It should be considered in suspected cases of small bowel tumor. |
| first_indexed | 2024-12-23T20:34:12Z |
| format | Article |
| id | doaj.art-a2958f36bfea4843bc4923d6f4c9aa4c |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-12-23T20:34:12Z |
| publishDate | 2009-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-a2958f36bfea4843bc4923d6f4c9aa4c2022-12-21T17:32:08ZengElsevierJournal of the Formosan Medical Association0929-66462009-07-01108753353810.1016/S0929-6646(09)60370-3Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule EndoscopyLi-Rung ShyungShee-Chan LinShou-Chuan ShihWen-Hsiung ChangCheng-Hsin ChuTsang-En WangCapsule endoscopy is a highly sensitive method for the detection of small bowel lesions. False-positive findings are important confounding factors. This study reports on a scoring system for evaluating the role of capsule endoscopy in small bowel tumors. Methods: Ten men and two women (age, 23–79 years) with suspected small bowel tumors were included from 120 patients referred for capsule endoscopy between March 2004 and March 2008. The indications were gastrointestinal bleeding (n = 9), melanoma workup (n = 1), physical checkup (n = 1), and iron deficiency anemia (n = 1). The proposed tumor score was composed of five components: bleeding, mucosal disruption, an irregular surface, color, and white villi. These can be scored for probability of mass lesions seen at capsule endoscopy. Small bowel mass lesions were probably present in those with a score of ≥ 4, and a score of ≤ 2 indicated a low probability of a small bowel mass lesion. Results: Capsule endoscopy showed probable small bowel mass lesions in six patients, and a low lesion probability in the other six. Capsule endoscopy showed that new lesions were not detected by esophagogastroduodenoscopy or colonoscopy. All six patients with probable small bowel tumors were found to have pathological findings upon capsule endoscopy: two with lymphangioma, and one each with ileal ectopic pancreas, with melanoma metastasis, gastrointestinal lymphoma, and gastrointestinal stromal tumor. Conclusion: Capsule endoscopy may detect small bowel tumors more reliably by using the scoring system outlined. It should be considered in suspected cases of small bowel tumor.http://www.sciencedirect.com/science/article/pii/S0929664609603703capsule endoscopygastrointestinal hemorrhageintestinal neoplasms |
| spellingShingle | Li-Rung Shyung Shee-Chan Lin Shou-Chuan Shih Wen-Hsiung Chang Cheng-Hsin Chu Tsang-En Wang Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy Journal of the Formosan Medical Association capsule endoscopy gastrointestinal hemorrhage intestinal neoplasms |
| title | Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy |
| title_full | Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy |
| title_fullStr | Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy |
| title_full_unstemmed | Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy |
| title_short | Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy |
| title_sort | proposed scoring system to determine small bowel mass lesions using capsule endoscopy |
| topic | capsule endoscopy gastrointestinal hemorrhage intestinal neoplasms |
| url | http://www.sciencedirect.com/science/article/pii/S0929664609603703 |
| work_keys_str_mv | AT lirungshyung proposedscoringsystemtodeterminesmallbowelmasslesionsusingcapsuleendoscopy AT sheechanlin proposedscoringsystemtodeterminesmallbowelmasslesionsusingcapsuleendoscopy AT shouchuanshih proposedscoringsystemtodeterminesmallbowelmasslesionsusingcapsuleendoscopy AT wenhsiungchang proposedscoringsystemtodeterminesmallbowelmasslesionsusingcapsuleendoscopy AT chenghsinchu proposedscoringsystemtodeterminesmallbowelmasslesionsusingcapsuleendoscopy AT tsangenwang proposedscoringsystemtodeterminesmallbowelmasslesionsusingcapsuleendoscopy |