Swallowed Camera Finds Small Bowel Tumors

Study: Capsule endoscopy detects what other screens can't

MONDAY, Nov. 1, 2004 (HealthDayNews) -- Capsule endoscopies can detect tumors in the small bowel that previously went undetected by other diagnostic technology, says a new study.

In capsule endoscopy, the patient swallows a small capsule that contains a video camera and transmitter. As the capsule travels through the intestinal tract, it collects two images per second and transmits them to a recording device worn by the patient. Doctors then download and view the images.

Researchers from the Mount Sinai Medical Center and the University of Miami School of Medicine found that capsule endoscopy detected tumors in the small bowel in 72 patients who had undergone an average of 4.6 negative evaluations. Of the tumors found using capsule endoscopy, 65 percent were malignant.

Collectively, the patients had previously had a total of 334 negative procedures -- 115 colonoscopies, 111 upper endoscopies, 32 small bowel follow through procedures, 24 enteroscopies, 17 CT scans, 16 enteroclysis procedures, six nuclear bleeding scans, five angiographies, five plain abdominal X-rays, one abdominal ultrasound, one Meckel's scan, and one laparoscopy.

"Small bowel tumors are traditionally difficult to diagnose because of their endoscopic inaccessibility," study co-author Dr. Gregory Schwartz said in a prepared statement. "This has been overcome by the use of capsule endoscopy."

The research was presented Nov. 1 at the American College of Gastroenterology's annual meeting in Orlando, Fla.

More information

The U.S. National Cancer Institute has more about small intestine cancer.

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