Colon capsule endoscopy after incomplete colonoscopy

Dr. Konstantinos TriantafyllouKonstantinos Triantafyllou, MD, PhD at the Hepatogastroenterology Unit at Athens University, Attikon University General Hospital in Athens, Greece, summarizes his Original Article “Colon capsule endoscopy is feasible to perform after incomplete colonoscopy and guides further workup in clinical practice.”

The purpose of this study was to prospectively investigate the feasibility of colon capsule endoscopy (CCE) following incomplete colonoscopy and to evaluate further CCE based work-up and patients’ acceptance of the examination in clinical practice.

Colonoscopy fails to visualize the cecum in 10-13% of patients undergoing the examination. In these cases, further exploration of the colon is recommended using either endoscopic or imaging methods to complement the failed exam. CCE is a relatively new, non-invasive, probably patient friendly modality that has not been extensively investigated in this setting.

Figure 2Figure 2. Study’s primary end points results. CCE, colon capsule endoscopy.

Using the first generation capsule endoscope (Given Imaging, Yoqneam, Israel), we showed that CCE can successfully complement incomplete colonoscopy in 90% of the cases. It also reveals significant additional findings and guides further diagnostic and therapeutic work-up, safely, with high accuracy and patents’ acceptance. More importantly the performance of the procedure seems to be independent of its timing and it can be therefore performed safely and successfully even immediately after incomplete colonoscopy.

In order to further validate the position of CCE in the setting of incomplete colonoscopy cases, the results of the performance of the second generation capsule endoscope are expected in 1) a trial designed like ours, and 2) in comparison to CT colonography.

Find this article on pages 307-316 of the print journal or read the abstract online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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