new procedure 1.practice drinking sips of ~15ml of water please note; we found that training the...
TRANSCRIPT
New procedure
1. Practice drinking sips of ~15ml of water
Please note; we found that training the patient pre-ingestion improves the procedure significantly!
New procedure
2. Drink 100 ml of water to clear saliva
New procedure
2. Lie on right side, ingest Capsule with sip of water, and stay in right side position
Drink 15 ml sips of water every ~30 sec.
0:00 7:00 min
New procedure
3. Drink sip of water
7:00 min
New procedure
4. Walk
7:30 – 20:00 min
Results(Demonstrated by some examples)
Original Procedure New Procedure
Study Images (1) 36
TT = 00:13 min TT = 00:09 min
Study Images (2)
Original Procedure New Procedure
265
TT = 05:13 min TT = 00:37 min
Original Procedure New Procedure
Study Images (3) 266
TT = 05:01 min TT = 00:11 min
Original Procedure New Procedure
Study Images (4) 3
TT = 01:11 min TT = 00:15 min
Original Procedure New Procedure
Study Images (5) 263
TT = 00:39 min TT = 00:06 min
Original Procedure New Procedure
Study Images (6)
TT = 01:10 min TT = 00:06 min
101
Conclusions • Presence of bubbles/saliva which obscures
the Z-line was significantly reduced, therefore enhancing visualization
• Z-line circumferential view is significantly increased
• Procedure appears much easier and simple for both subjects and staff*
• Shorter esophageal transit time (0:38 ± 1:25 minutes)
* Based on staff testimonies
Conclusions(continued)
• Accuracy (sensitivity, specificity, NPV, PPV) of PillCam ESO utilized in the new procedure needs to be evaluated against EGD in a comparative study
• Impact of new procedure on detection esophageal varices needs to be evaluated
• Further potential improvement using real time viewer (to stop water sips when capsule reaches Z-line region) should also be evaluated