A novel capsule endoscopy for upper and mid-GI tract: the UMGI capsule

Author:

Jiang Bin,Qian Yang-Yang,Wang Yuan-Chen,Pan Jun,Jiang Xi,Zhu Jia-Hui,Qiu Xiao-Ou,Zhou Wei,Li Zhao-Shen,Liao ZhuanORCID

Abstract

Abstract Backgrounds and Aims Complete and consecutive observation of the gastrointestinal (GI) tract continues to present challenges for current endoscopy systems. We developed a novel upper and mid gastrointestinal (UMGI) capsule endoscopy using the modified detachable string magnetically controlled capsule endoscopy (DS-MCE) and inspection method and aimed to assess the clinical application. Methods Patients were recruited to undergo UMGI capsule endoscopy followed by esophagogastroduodenoscopy. All capsule procedures in the upper gastrointestinal (UGI) tract were conducted under the control of magnet and string. The main outcome was technical success, and the secondary outcomes included visualization of the UMGI tract, examination time, diagnostic yield, compliance, and safety evaluation. Results Thirty patients were enrolled and all UMGI capsule procedures realized repeated observation of the esophagus and duodenum with detection rates of 100.0%, 80.0%, and 86.7% of Z-line, duodenal papilla, and reverse side of pylorus, respectively. String detachment was succeeded in 29 patients (96.7%) and the complete examination rate of UMGI tract was 95.45% (21/22). All UMGI capsule procedures were well tolerated with low discomfort score, and had a good diagnostic yield with per-lesion sensitivity of 96.2% in UGI diseases. No adverse events occurred. Conclusions This new capsule endoscopy system provides an alternative screening modality for the UMGI tract, and might be indicated in cases of suspected upper and small bowel GI bleeding. Trial registration DS-MCE-UGI and SB, NCT04329468. Registered 27 March 2020, https://clinicaltrials.gov/ct2/results?cond=&term=NCT04329468.

Funder

the “Ten Thousand Plan”-National High Level Talents Special Support Plan

Shanghai Municipal Hospital Emerging Frontier Technology Joint Project

the Major Project of Military Logistical Support Department

National Natural Science Foundation of China

Shanghai Sailing Program

Publisher

Springer Science and Business Media LLC

Subject

Gastroenterology,General Medicine

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