Amazing Pill-cam ingested in the Emergency Room can find internal bleeding non invasively.

Amazing Pill-cam ingested in the Emergency Room can find internal bleeding non invasively.

There is a movement toward simpler and smarter diagnostics that are less expensive to perform. One such diagnostic instrument is a camera that can be ingested to find out where bleeding may be coming from in the gut and aid doctors in an accurate diagnosis without needing to use other means. Could a camera based colonoscopy be far behind? We may soon find out. Check this out

 

Pill-Cam Picks Up Internal Bleeding in ER

By Michael Smith, North American Correspondent, MedPage Today

Published: February 13, 2013
Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco and Dorothy Caputo, MA, BSN, RN, Nurse Planner

A camera in a pill, given in the emergency room, is a sensitive way to detect upper gastrointestinal (GI) bleeding, researchers reported.

In a pilot 25-patient study, the camera – about the size of a large vitamin pill – was both accurate and well tolerated by patients who were suspected of having acute upper GI hemorrhage, according to Andrew Meltzer, MD, of George Washington University in Washington, D.C., and colleagues.

There was also “excellent” agreement between gastroenterologists and ER physicians on the interpretation of images from the camera, Meltzer and colleagues reported online in Annals of Emergency Medicine.

The device has a camera at both ends and, once swallowed, transmits real-time images to a data recorder, which can be viewed at the bedside and saved for later review. The camera itself is later excreted and not recovered.

The gold standard for risk stratification in such cases is an esophagoduodenoscopy, which is invasive and – since gastroenterologists usually perform it after hospital admission – costly.

When esophagoduodenoscopy is performed in the emergency setting, Meltzer and colleagues noted, between 30% and 46% of patients can be safely discharged, avoiding the expense of a hospital stay.

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