[Intestinal biopsy: fiberscopy or Watson's capsule?].
We compared the results of 100 fiberendoscopic small bowel biopsies (F) with those of 100 Watson capsule biopsies (W). Three to 6 specimens were obtained during endoscopy. The F biopsy fragments were deeper than the W biopsies (P less than 0.001). The F biopsies were more often located in the duodenum than the W biopsies. The failure rate of the F biopsies (3%) was lower than for the W biopsies (12%): P less than 0.02. Multiple biopsies increased the diagnostic value of fiberendoscopy, which was 85% in our experience versus 77% for Watson capsule. The duration of the endoscopic procedure, available in 15 children, was 6.5 min for 4 to 6 samples, i.e. 1.5 min by specimen. Small bowel fiberendoscopy appears to be a safe and accurate method for performing small bowel biopsies in infants and children.
Service de clinique pédiatrique et génétique médicale, Hôpital Claude-Huriez, CHRU, Lille, France.
D
D
Turck
F
F
Gottrand
V
V
Mitchell
D000293:Adolescent; D001706:Biopsy / Q000009:adverse effects / Q000379:methods*; D001707:Biopsy, Needle; D002648:Child; D002675:Child, Preschool; D004386:Duodenum / Q000473:pathology; D005336:Fiber Optic Technology; D006801:Humans; D007223:Infant; D007410:Intestinal Diseases / Q000473:pathology*; D007413:Intestinal Mucosa / Q000473:pathology; D007421:Intestine, Small / Q000473:pathology*; D012189:Retrospective Studies
Biopsie intestinale: fibroscopie ou capsule de Watson?