Second-generation colon capsule endoscopy for detection of colorectal polyps:A meta-analysis

Alihosseini, Samira, Aryankhesal, Aidin ORCID: https://orcid.org/0000-0002-6695-227X and Sabermahani, Asma (2020) Second-generation colon capsule endoscopy for detection of colorectal polyps:A meta-analysis. Medical Journal of the Islamic Republic of Iran, 34 (1). pp. 567-573. ISSN 1016-1430

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Abstract

Background: Colorectal cancer counts as the third prevalent type of cancer and the fourth cause of death worldwide. The second-generation colon capsule endoscopy (CCE-2) is a new technology for the diagnosis of colon cancer. The aim of this review was to provide information on the diagnostic accuracy (diagnostic effectiveness) of the second-generation colon capsule endoscopy compared to colonoscopy for the diagnosis of colon cancer and disorders. Methods: A systematic review of literature in PubMed, Scopus, Science Direct, and Cochrane Library and Iranian databases, such as MagIran, SID, Irandoc, the grey literature (via Google Scholar) was conducted on February 30, 2018. QUADAS-2 was used to assess the quality of the studies. MetaDiSc 2.0 software was used for the meta-analysis. Results: In this review, 480 records were identified. Eight prospective cohort articles were included among which 7 included in the meta-analysis. For the diagnosis of colorectal polyps with a diameter of 6-10 mm, the pooled sensitivity and specificity were 84% (95% CI, 80% -88%) and 88% (95%CI, 85% -90%). For the diagnosis of 10 mm or bigger colorectal polyps, the pooled sensitivity and specificity were 84% (95% CI, 76%-89%) and 96% (95% CI, 94 %-97%). The sensitivity and specificity of the capsule in the detection of any size polyps were 93% (95% CI, 97%-84%) and 66% (95% CI, 48%-81%), respectively. Conclusion: There is little evidence to show the accuracy of CCE-2. Nevertheless, this review showed that the second-generation colon capsule endoscopy has good accuracy in the detection of polyps and colorectal cancer among high- and middle-risk patients.

Item Type: Article
Additional Information: Funding Information: This article is a part of an MS thesis, supported by Kerman University of Medical Sciences with an approval number of IR.KMU.REC.1397.110 issued by Kerman University of Medical Sciences. Publisher Copyright: © 2020
Uncontrolled Keywords: accuracy,cce-2,colon capsule endoscopy,colonic polyp,colonoscopy,medicine(all),sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700
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Depositing User: LivePure Connector
Date Deposited: 13 Mar 2023 10:30
Last Modified: 13 Mar 2023 10:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/91464
DOI: 10.47176/mjiri.34.81

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