title: Comparison of detectability of small-bowel lesions between capsule endoscopy and double-balloon endoscopy for patients with suspected small-bowel disease.
abstract: BACKGROUND
  There are many reports of the usefulness of capsule endoscopy (CE) or double-balloon endoscopy (DBE) for the detection of small-bowel disease. However, there are few reports that compared CE and DBE.
  
  
  OBJECTIVE
  To determine whether CE or DBE better detects small-bowel lesions in patients with suspected small-bowel disease.
  
  
  METHODS
  A prospective single-center study.
  
  
  METHODS
  Department of Endoscopy, Hiroshima University Hospital.
  
  
  METHODS
  Rates of CE and DBE detection of small-bowel lesions.
  
  
  METHODS
  Seventy-six consecutive patients (47 men, 29 women; mean age 56.0 years) who underwent both CE and DBE.
  
  
  METHODS
  CE was performed before DBE. DBEs were performed within 1 week, by both retrograde and antegrade approaches so that the entire small bowel could be examined, if possible.
  
  
  RESULTS
  Small-bowel lesions were detected by CE in 42 patients (55.3%) and by DBE in 46 patients (60.5%). The difference was not significant (P = .45). Total enteroscopy was achieved by both examinations in 35 patients, and small-bowel lesions were detected by both examinations in 21 of the 35 patients (60.0%). Agreement between results of the 2 examinations was good (kappa = 0.76).
  
  
  CONCLUSIONS
  The main indication for examinations was not the same.
  
  
  CONCLUSIONS
  CE and DBE are nearly equal in their ability to detect small-bowel lesions if the entire small bowel is examined.
authors.affiliation: Department of Medicine and Molecular Science, Hiroshima University, Hiroshima, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Fukumoto
authors.forename: Shinji
authors.initials: S
authors.lastname: Tanaka
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Shishido
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Takemura
authors.forename: Shiro
authors.initials: S
authors.lastname: Oka
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Chayama
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D053704:Capsule Endoscopy; D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005260:Female; D006801:Humans; D007410:Intestinal Diseases / Q000175:diagnosis*; D007421:Intestine, Small; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D055815:Young Adult