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Comparison of fiberendoscopy and Watson capsule for small intestinal biopsy in infants and children
Author(s) -
Gottrand F,
Turck D,
Mitchell V,
Farriaux JP
Publication year - 1992
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1992.tb12257.x
Subject(s) - medicine , capsule , biopsy , duodenum , capsule endoscopy , watson , gastroenterology , surgery , natural language processing , botany , computer science , biology
We analyzed the results of 607 small bowel biopsies performed over a seven‐year period: 284 biopsies were obtained using a fiberendoscope and 323 biopsies using a Watson capsule. Three to six specimens were removed during endoscopy. The biopsy fragments obtained with the fiberendoscope were deeper than those obtained with the Watson capsule ( p <0.0001) and were more often located in the duodenum ( p <0.0001). The failure rate of the fiberendoscope biopsies (1%) was lower than for the Watson capsule biopsies (9%) ( p <0.0001). Multiple biopsies increased the diagnostic value of fiberendoscopy which was 95% versus 85% for Watson capsule. The mean duration of the endoscopic procedure recorded in 30 children was 6.5 min for four to six samples, i. e. 1.5 min per biopsy specimen. Fiberendoscopy appears to be an efficient and safe method for performing small bowel biopsies in infants and children.