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One Thousand Small-bowel Biopsies in Children A Single-Port versus a Double-Port Capsule
Background: Small-bowel biopsy is a well-established technique in the evaluation of children with intestinal malabsorption, e.g. coeliac disease. The biopsy is performed endoscopically or with a peroral capsule instrument. The aim of the present retrospective study was to compare the single-port Wat...
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Published in: | Scandinavian journal of gastroenterology 2001, Vol.36 (11), p.1230-1232 |
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description | Background: Small-bowel biopsy is a well-established technique in the evaluation of children with intestinal malabsorption, e.g. coeliac disease. The biopsy is performed endoscopically or with a peroral capsule instrument. The aim of the present retrospective study was to compare the single-port Watson capsule with the double-port Storz capsule with regard to procedure and fluoroscopy time, complications and failure rate. Methods: All 1,078 peroral small-bowel biopsies performed at our department during 1989-99 were studied. In 387 of these, the Watson capsule was used and in the remaining 691 the Storz capsule. Median age of the children was 2.5 years. About one-third of the children were premedicated with the prokinetic drug cisapride and as sedatives alimemazine or diazepam orally. Two-thirds of the children were given metoclopramide along with midazolam intravenously. The biopsies were performed under intermittent fluoroscopy. Results: The median biopsy procedure time was significantly shorter with the Storz capsule (7 min) compared to the Watson capsule (10 min) ( P < 0.05). The median fluoroscopy time was 5 sec with the Storz capsule and 8 sec with the Watson capsule ( P < 0.01). The failure rate did not differ significantly between the two capsule types: 10.3% (Watson) and 7.7% (Storz). One potential but no serious complication occurred. Conclusions: Providing that effective sedation is available, smallbowel biopsy with a peroral capsule, and the Storz double-port multibiopsy capsule in particular, is a safe and fast method exposing the child to a minimal radiation dose. |
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The biopsy is performed endoscopically or with a peroral capsule instrument. The aim of the present retrospective study was to compare the single-port Watson capsule with the double-port Storz capsule with regard to procedure and fluoroscopy time, complications and failure rate. Methods: All 1,078 peroral small-bowel biopsies performed at our department during 1989-99 were studied. In 387 of these, the Watson capsule was used and in the remaining 691 the Storz capsule. Median age of the children was 2.5 years. About one-third of the children were premedicated with the prokinetic drug cisapride and as sedatives alimemazine or diazepam orally. Two-thirds of the children were given metoclopramide along with midazolam intravenously. The biopsies were performed under intermittent fluoroscopy. Results: The median biopsy procedure time was significantly shorter with the Storz capsule (7 min) compared to the Watson capsule (10 min) ( P < 0.05). The median fluoroscopy time was 5 sec with the Storz capsule and 8 sec with the Watson capsule ( P < 0.01). The failure rate did not differ significantly between the two capsule types: 10.3% (Watson) and 7.7% (Storz). One potential but no serious complication occurred. Conclusions: Providing that effective sedation is available, smallbowel biopsy with a peroral capsule, and the Storz double-port multibiopsy capsule in particular, is a safe and fast method exposing the child to a minimal radiation dose.</description><identifier>ISSN: 0036-5521</identifier><identifier>ISSN: 1502-7708</identifier><identifier>EISSN: 1502-7708</identifier><identifier>DOI: 10.1080/00365520152584905</identifier><identifier>PMID: 11686227</identifier><identifier>CODEN: SJGRA4</identifier><language>eng</language><publisher>Copenhagen: Informa UK Ltd</publisher><subject><![CDATA[Adolescent ; Adult ; Anti-Anxiety Agents - administration & dosage ; Biological and medical sciences ; Biopsy - adverse effects ; Biopsy - methods ; Child ; Child, Preschool ; Children ; Children Coeliac Disease Fluoroscopy Suction Biopsy ; Coeliac disease ; Diazepam - administration & dosage ; Fluoroscopy ; Humans ; Hypnotics and Sedatives - administration & dosage ; Infant ; Intestine, Small - pathology ; Malabsorption Syndromes - pathology ; Medical sciences ; MEDICIN ; MEDICINE ; Metoclopramide - administration & dosage ; Midazolam - administration & dosage ; Retrospective Studies ; Stomach, duodenum, intestine, rectum, anus ; Suction biopsy ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Time Factors ; Trimeprazine - administration & dosage]]></subject><ispartof>Scandinavian journal of gastroenterology, 2001, Vol.36 (11), p.1230-1232</ispartof><rights>2001 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2001</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-2cd20d670c6fe9835e5f36f999c665a30fc98ad3832742c8c7315da481ca5093</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14098873$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11686227$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-25970$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-47247$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Högberg, L</creatorcontrib><creatorcontrib>Nordwall, M</creatorcontrib><creatorcontrib>Stenhammar, L</creatorcontrib><title>One Thousand Small-bowel Biopsies in Children A Single-Port versus a Double-Port Capsule</title><title>Scandinavian journal of gastroenterology</title><addtitle>Scand J Gastroenterol</addtitle><description>Background: Small-bowel biopsy is a well-established technique in the evaluation of children with intestinal malabsorption, e.g. coeliac disease. The biopsy is performed endoscopically or with a peroral capsule instrument. The aim of the present retrospective study was to compare the single-port Watson capsule with the double-port Storz capsule with regard to procedure and fluoroscopy time, complications and failure rate. Methods: All 1,078 peroral small-bowel biopsies performed at our department during 1989-99 were studied. In 387 of these, the Watson capsule was used and in the remaining 691 the Storz capsule. Median age of the children was 2.5 years. About one-third of the children were premedicated with the prokinetic drug cisapride and as sedatives alimemazine or diazepam orally. Two-thirds of the children were given metoclopramide along with midazolam intravenously. The biopsies were performed under intermittent fluoroscopy. Results: The median biopsy procedure time was significantly shorter with the Storz capsule (7 min) compared to the Watson capsule (10 min) ( P < 0.05). The median fluoroscopy time was 5 sec with the Storz capsule and 8 sec with the Watson capsule ( P < 0.01). The failure rate did not differ significantly between the two capsule types: 10.3% (Watson) and 7.7% (Storz). One potential but no serious complication occurred. Conclusions: Providing that effective sedation is available, smallbowel biopsy with a peroral capsule, and the Storz double-port multibiopsy capsule in particular, is a safe and fast method exposing the child to a minimal radiation dose.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anti-Anxiety Agents - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Biopsy - adverse effects</subject><subject>Biopsy - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children Coeliac Disease Fluoroscopy Suction Biopsy</subject><subject>Coeliac disease</subject><subject>Diazepam - administration & dosage</subject><subject>Fluoroscopy</subject><subject>Humans</subject><subject>Hypnotics and Sedatives - administration & dosage</subject><subject>Infant</subject><subject>Intestine, Small - pathology</subject><subject>Malabsorption Syndromes - pathology</subject><subject>Medical sciences</subject><subject>MEDICIN</subject><subject>MEDICINE</subject><subject>Metoclopramide - administration & dosage</subject><subject>Midazolam - administration & dosage</subject><subject>Retrospective Studies</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Suction biopsy</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Time Factors</subject><subject>Trimeprazine - administration & dosage</subject><issn>0036-5521</issn><issn>1502-7708</issn><issn>1502-7708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqN0U1rFDEYB_Agit1WP4AXyUVPjj5JJm_oZd36BoUKXcRbyGYy3ZTMZExmXPrtO2W3FhGKp0Dy-z8k-SP0gsBbAgreATDBOQXCKVe1Bv4ILQgHWkkJ6jFa3J5XMyBH6LiUKwDgstZP0REhQglK5QL9PO89Xm_TVGzf4IvOxlht0s5H_DGkoQRfcOjxahtik32Pl_gi9JfRV99THvFvn8tUsMWnadrcba7sUKbon6EnrY3FPz-sJ2j9-dN69bU6O__ybbU8qxwHMVbUNRQaIcGJ1mvFuOctE63W2gnBLYPWaWUbphiVNXXKSUZ4Y2tFnOWg2Ql6sx9bdn6YNmbIobP52iQbzGn4sTQpX5oYJlNLWsv_55RrCTN_vedDTr8mX0bTheJ8jLb385cZSSnTTKgZkj10OZWSfftnMgFz25X5p6s58_IwfNp0vrlPHMqZwasDsMXZ2Gbbu1DuXQ1aKclm92HvQt-m3NldyrExo72OKd-F2EP3eP9XfOttHLfOZm-u0pT7ub0HXnEDg2fACQ</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>Högberg, L</creator><creator>Nordwall, M</creator><creator>Stenhammar, L</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Scandinavian University Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DG8</scope></search><sort><creationdate>2001</creationdate><title>One Thousand Small-bowel Biopsies in Children A Single-Port versus a Double-Port Capsule</title><author>Högberg, L ; Nordwall, M ; Stenhammar, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-2cd20d670c6fe9835e5f36f999c665a30fc98ad3832742c8c7315da481ca5093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anti-Anxiety Agents - administration & dosage</topic><topic>Biological and medical sciences</topic><topic>Biopsy - adverse effects</topic><topic>Biopsy - methods</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children Coeliac Disease Fluoroscopy Suction Biopsy</topic><topic>Coeliac disease</topic><topic>Diazepam - administration & dosage</topic><topic>Fluoroscopy</topic><topic>Humans</topic><topic>Hypnotics and Sedatives - administration & dosage</topic><topic>Infant</topic><topic>Intestine, Small - pathology</topic><topic>Malabsorption Syndromes - pathology</topic><topic>Medical sciences</topic><topic>MEDICIN</topic><topic>MEDICINE</topic><topic>Metoclopramide - administration & dosage</topic><topic>Midazolam - administration & dosage</topic><topic>Retrospective Studies</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Suction biopsy</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Time Factors</topic><topic>Trimeprazine - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Högberg, L</creatorcontrib><creatorcontrib>Nordwall, M</creatorcontrib><creatorcontrib>Stenhammar, L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Linköpings universitet</collection><jtitle>Scandinavian journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Högberg, L</au><au>Nordwall, M</au><au>Stenhammar, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>One Thousand Small-bowel Biopsies in Children A Single-Port versus a Double-Port Capsule</atitle><jtitle>Scandinavian journal of gastroenterology</jtitle><addtitle>Scand J Gastroenterol</addtitle><date>2001</date><risdate>2001</risdate><volume>36</volume><issue>11</issue><spage>1230</spage><epage>1232</epage><pages>1230-1232</pages><issn>0036-5521</issn><issn>1502-7708</issn><eissn>1502-7708</eissn><coden>SJGRA4</coden><abstract>Background: Small-bowel biopsy is a well-established technique in the evaluation of children with intestinal malabsorption, e.g. coeliac disease. The biopsy is performed endoscopically or with a peroral capsule instrument. The aim of the present retrospective study was to compare the single-port Watson capsule with the double-port Storz capsule with regard to procedure and fluoroscopy time, complications and failure rate. Methods: All 1,078 peroral small-bowel biopsies performed at our department during 1989-99 were studied. In 387 of these, the Watson capsule was used and in the remaining 691 the Storz capsule. Median age of the children was 2.5 years. About one-third of the children were premedicated with the prokinetic drug cisapride and as sedatives alimemazine or diazepam orally. Two-thirds of the children were given metoclopramide along with midazolam intravenously. The biopsies were performed under intermittent fluoroscopy. Results: The median biopsy procedure time was significantly shorter with the Storz capsule (7 min) compared to the Watson capsule (10 min) ( P < 0.05). The median fluoroscopy time was 5 sec with the Storz capsule and 8 sec with the Watson capsule ( P < 0.01). The failure rate did not differ significantly between the two capsule types: 10.3% (Watson) and 7.7% (Storz). One potential but no serious complication occurred. Conclusions: Providing that effective sedation is available, smallbowel biopsy with a peroral capsule, and the Storz double-port multibiopsy capsule in particular, is a safe and fast method exposing the child to a minimal radiation dose.</abstract><cop>Copenhagen</cop><cop>Oslo</cop><cop>Stockholm</cop><pub>Informa UK Ltd</pub><pmid>11686227</pmid><doi>10.1080/00365520152584905</doi><tpages>3</tpages></addata></record> |
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subjects | Adolescent Adult Anti-Anxiety Agents - administration & dosage Biological and medical sciences Biopsy - adverse effects Biopsy - methods Child Child, Preschool Children Children Coeliac Disease Fluoroscopy Suction Biopsy Coeliac disease Diazepam - administration & dosage Fluoroscopy Humans Hypnotics and Sedatives - administration & dosage Infant Intestine, Small - pathology Malabsorption Syndromes - pathology Medical sciences MEDICIN MEDICINE Metoclopramide - administration & dosage Midazolam - administration & dosage Retrospective Studies Stomach, duodenum, intestine, rectum, anus Suction biopsy Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Time Factors Trimeprazine - administration & dosage |
title | One Thousand Small-bowel Biopsies in Children A Single-Port versus a Double-Port Capsule |
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