Implementation of European Society of Gastrointestinal Endoscopy (ESGE) recommendations for small-bowel capsule endoscopy into clinical practice: Results of an official ESGE survey
Por:
Lazaridis, L, Tziatzios, G, Toth, E, Beaumont, H, Dray, X, Eliakim, R, Ellul, P, Fernandez-Urien, I, Keuchel, M, Panter, S, Rondonotti, E, Rosa, B, Spada, C, Jover, R, Bhandari, P, Triantafyllou, K, Koulaouzidis, A and ESGE Res Comm Small
Publicada:
1 sep 2021
Ahead of Print:
1 jul 2021
Resumen:
Background We aimed to document international practices in small-bowel capsule endoscopy (SBCE), measuring adherence to European Society of Gastrointestinal Endoscopy (ESGE) technical and clinical recommendations.
Methods Participants reached through the ESGE contact list completed a 52-item web-based survey.
Results 217 responded from 47 countries (176 and 41, respectively, from countries with or without a national society affiliated to ESGE). Of respondents, 45% had undergone formal SBCE training. Among SBCE procedures, 91% were performed with an ESGE recommended indication, obscure gastrointestinal bleeding (OGIB), iron-deficiency anemia (IDA), and suspected/established Crohn's disease being the commonest and with higher rates of positive findings (49.4%, 38.2% and 53.5%, respectively). A watchful waiting strategy after a negative SBCE for OGIB or IDA was preferred by 46.7% and 70.3%, respectively. SBCE was a second-line exam for evaluation of extent of new Crohn's disease for 62.2% of respondents. Endoscopists adhered to varying extents to ESGE technical recommendations regarding bowel preparation (>60%), use in those with pacemaker holders (62.5%), patency capsule use (51.2%), and use of a validated scale for bowel preparation assessment (13.3%). Of the respondents, 67% read and interpreted the exams themselves and 84% classified exams findings as relevant or irrelevant. Two thirds anticipated future increase in SBCE demand. Inability to obtain tissue (78.3%) and high cost (68.1%) were regarded as the main limitations, and implementation of artificial intelligence as the top development priority (56.2%).
Conclusions To some extent, endoscopists follow ESGE guidelines on using SBCE in clinical practice. However, variations in practice have been identified, whose implications require further evaluation.
Filiaciones:
Lazaridis, L:
Natl & Kapodistrian Univ Athens, Attikon Univ Gen Hosp, Dept Internal Med Propaedeut 2, Hepatogastroenterol Unit,Med Sch, 1 Rimini St, Athens 12462, Greece
Tziatzios, G:
Natl & Kapodistrian Univ Athens, Attikon Univ Gen Hosp, Dept Internal Med Propaedeut 2, Hepatogastroenterol Unit,Med Sch, 1 Rimini St, Athens 12462, Greece
Toth, E:
Lund Univ, Skane Univ Hosp, Dept Gastroenterol, Lund, Sweden
Beaumont, H:
Univ Amsterdam, Med Ctr, Dept Gastroenterol, Locat VUMC, Amsterdam, Netherlands
Dray, X:
Sorbonne Univ, Hop St Antoine, APHP, Ctr Digest Endoscopy, Paris, France
Eliakim, R:
Tel Aviv Univ, Sackler Sch Med, Sheba Med Ctr, Dept Gastroenterol, Tel Aviv, Israel
Ellul, P:
Mater Hosp, Div Gastroenterol, Imsida, Malta
Fernandez-Urien, I:
Complejo Hosp Navarra, Pamplona, Spain
Keuchel, M:
Agaples Bethesda Krankenhaus Bergedorf, Clin Internal Med, Hamburg, Germany
Panter, S:
South Tyneside Dist Hosp, South Tyneside & Sunderland NHS Fdn Trust, Dept Gastroenterol, South Shields, England
Rondonotti, E:
Valduce Hosp, Gastroenterol Unit, Como, Italy
Rosa, B:
Hosp Senhora Oliveira, Gastroenterol Dept, Guimaraes, Portugal
Spada, C:
Fdn Poliambulanza, Digest Endoscopy Unit & Gastroenterol, Brescia, Italy
:
Hosp Gen Univ Alicante, Inst Invest Sanitaria ISABIAL, Serv Med Digest, Alicante, Spain
Bhandari, P:
Queen Alexandra Hosp Portsmouth, Dept Gastroenterol, Portsmouth, England
Triantafyllou, K:
Natl & Kapodistrian Univ Athens, Attikon Univ Gen Hosp, Dept Internal Med Propaedeut 2, Hepatogastroenterol Unit,Med Sch, 1 Rimini St, Athens 12462, Greece
Koulaouzidis, A:
Pomeranian Med Univ, Fac Hlth Sci, Dept Social Med & Publ Hlth, Szczecin, Poland
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