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New procedure 1.Practice drinking sips of ~15ml of water Please note; we found that training the patient pre- ingestion improves the procedure significantly!

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Presentation on theme: "New procedure 1.Practice drinking sips of ~15ml of water Please note; we found that training the patient pre- ingestion improves the procedure significantly!"— Presentation transcript:

1 New procedure 1.Practice drinking sips of ~15ml of water Please note; we found that training the patient pre- ingestion improves the procedure significantly!

2 New procedure 2. Drink 100 ml of water to clear saliva

3 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

4 New procedure 3. Drink sip of water 7:00 min

5 New procedure 4. Walk 7:30 – 20:00 min

6 Results (Demonstrated by some examples)

7 Original Procedure New Procedure Study Images (1) 36 TT = 00:13 min TT = 00:09 min

8 Study Images (2) Original Procedure New Procedure 265 TT = 05:13 min TT = 00:37 min

9 Original Procedure New Procedure Study Images (3) 266 TT = 05:01 min TT = 00:11 min

10 Original Procedure New Procedure Study Images (4) 3 TT = 01:11 min TT = 00:15 min

11 Original Procedure New Procedure Study Images (5) 263 TT = 00:39 min TT = 00:06 min

12 Original Procedure New Procedure Study Images (6) TT = 01:10 min TT = 00:06 min 101

13 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

14 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


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