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Endoscopy 2007; 39(10): 910-912
DOI: 10.1055/s-2007-966780
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
Weitere Informationen
Publikationsverlauf
submitted 26 March 2007
accepted after revision 13 June 2007
Publikationsdatum:
29. Oktober 2007 (online)
![](https://www.thieme-connect.de/media/endoscopy/200710/lookinside/thumbnails/10.1055-s-2007-966780-1.jpg)
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
- 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
- 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
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