Combination of Five Body Positions Can Effectively Improve the Rate of Gastric Mucosa’s Complete Visualization by Applying Magnetic-Guided Capsule Endoscopy

Objectives. Achieving a comprehensive view of gastric mucosa has been a challenge for magnetic-guided capsule endoscopy (MGCE) for years. This study works on optimizing the performance of MGCE by changing the conventional positions to the five body positions. Methods. Sixty patients were enrolled in...

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Main Authors: Yuting Qian, Sheng Wu, Qi Wang, Lumin Wei, Wei Wu, Lifu Wang, Ye Chu
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2016/6471945
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author Yuting Qian
Sheng Wu
Qi Wang
Lumin Wei
Wei Wu
Lifu Wang
Ye Chu
author_facet Yuting Qian
Sheng Wu
Qi Wang
Lumin Wei
Wei Wu
Lifu Wang
Ye Chu
author_sort Yuting Qian
collection DOAJ
description Objectives. Achieving a comprehensive view of gastric mucosa has been a challenge for magnetic-guided capsule endoscopy (MGCE) for years. This study works on optimizing the performance of MGCE by changing the conventional positions to the five body positions. Methods. Sixty patients were enrolled in the study and underwent MGCE. All patients were asked to adopt five body positions (left lateral, supine, right lateral, knee-chest, and sitting). In each position, the ability to visualize the six gastric landmarks (cardia, fundus, body, angulus, antrum, and pylorus) was assessed. Rates of complete visualization were calculated for different position combinations. Results. Supine position was the best for cardia and body visualization (91.7% and 86.7%, resp., p<0.001). Left lateral position was the best for fundus visualization (91.7%, p<0.001). Knee-chest position was the best for angulus observation (80.0%, p<0.001). Right lateral and sitting positions were the best for antrum observation (88.3% and 90.0%, resp., p<0.001). Right lateral position was the best for pylorus observation (81.7%, p<0.001). The supine + right lateral + knee-chest combination achieved better angulus visualization than conventional 3-position combination (93.3% versus 63.3%, p<0.001). Five-position combination significantly improved the comprehensive gastric landmark visualization (93.3%, p<0.001). Conclusion. Compared with 3-position combination, 5-position combination should be adopted for gastric mucosal visualization by MGCE.
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spelling doaj-art-aafdd5092b6c440ea0d1517a08c6628e2025-02-03T06:04:57ZengWileyGastroenterology Research and Practice1687-61211687-630X2016-01-01201610.1155/2016/64719456471945Combination of Five Body Positions Can Effectively Improve the Rate of Gastric Mucosa’s Complete Visualization by Applying Magnetic-Guided Capsule EndoscopyYuting Qian0Sheng Wu1Qi Wang2Lumin Wei3Wei Wu4Lifu Wang5Ye Chu6Department of Gastroenterology, Shanghai Jiaotong University Medical School Affiliated Ruijin Hospital, 197 Second Ruijin Road, Shanghai 200025, ChinaDepartment of Gastroenterology, Shanghai Jiaotong University Medical School Affiliated Ruijin Hospital, 197 Second Ruijin Road, Shanghai 200025, ChinaDepartment of Gastroenterology, Shanghai Jiaotong University Medical School Affiliated Ruijin Hospital, 197 Second Ruijin Road, Shanghai 200025, ChinaDepartment of Gastroenterology, Shanghai Jiaotong University Medical School Affiliated Ruijin Hospital, 197 Second Ruijin Road, Shanghai 200025, ChinaDepartment of Gastroenterology, Shanghai Jiaotong University Medical School Affiliated Ruijin Hospital, 197 Second Ruijin Road, Shanghai 200025, ChinaDepartment of Gastroenterology, Shanghai Jiaotong University Medical School Affiliated Ruijin Hospital, 197 Second Ruijin Road, Shanghai 200025, ChinaDepartment of Gastroenterology, Shanghai Jiaotong University Medical School Affiliated Ruijin Hospital, 197 Second Ruijin Road, Shanghai 200025, ChinaObjectives. Achieving a comprehensive view of gastric mucosa has been a challenge for magnetic-guided capsule endoscopy (MGCE) for years. This study works on optimizing the performance of MGCE by changing the conventional positions to the five body positions. Methods. Sixty patients were enrolled in the study and underwent MGCE. All patients were asked to adopt five body positions (left lateral, supine, right lateral, knee-chest, and sitting). In each position, the ability to visualize the six gastric landmarks (cardia, fundus, body, angulus, antrum, and pylorus) was assessed. Rates of complete visualization were calculated for different position combinations. Results. Supine position was the best for cardia and body visualization (91.7% and 86.7%, resp., p<0.001). Left lateral position was the best for fundus visualization (91.7%, p<0.001). Knee-chest position was the best for angulus observation (80.0%, p<0.001). Right lateral and sitting positions were the best for antrum observation (88.3% and 90.0%, resp., p<0.001). Right lateral position was the best for pylorus observation (81.7%, p<0.001). The supine + right lateral + knee-chest combination achieved better angulus visualization than conventional 3-position combination (93.3% versus 63.3%, p<0.001). Five-position combination significantly improved the comprehensive gastric landmark visualization (93.3%, p<0.001). Conclusion. Compared with 3-position combination, 5-position combination should be adopted for gastric mucosal visualization by MGCE.http://dx.doi.org/10.1155/2016/6471945
spellingShingle Yuting Qian
Sheng Wu
Qi Wang
Lumin Wei
Wei Wu
Lifu Wang
Ye Chu
Combination of Five Body Positions Can Effectively Improve the Rate of Gastric Mucosa’s Complete Visualization by Applying Magnetic-Guided Capsule Endoscopy
Gastroenterology Research and Practice
title Combination of Five Body Positions Can Effectively Improve the Rate of Gastric Mucosa’s Complete Visualization by Applying Magnetic-Guided Capsule Endoscopy
title_full Combination of Five Body Positions Can Effectively Improve the Rate of Gastric Mucosa’s Complete Visualization by Applying Magnetic-Guided Capsule Endoscopy
title_fullStr Combination of Five Body Positions Can Effectively Improve the Rate of Gastric Mucosa’s Complete Visualization by Applying Magnetic-Guided Capsule Endoscopy
title_full_unstemmed Combination of Five Body Positions Can Effectively Improve the Rate of Gastric Mucosa’s Complete Visualization by Applying Magnetic-Guided Capsule Endoscopy
title_short Combination of Five Body Positions Can Effectively Improve the Rate of Gastric Mucosa’s Complete Visualization by Applying Magnetic-Guided Capsule Endoscopy
title_sort combination of five body positions can effectively improve the rate of gastric mucosa s complete visualization by applying magnetic guided capsule endoscopy
url http://dx.doi.org/10.1155/2016/6471945
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