Subscribe to RSS
DOI: 10.1055/s-0040-1704487
ESGE GUIDELINES FOR SMALL-BOWEL CAPSULE ENDOSCOPY: FROM RECOMMENDATIONS TO PRACTICE
Publication History
Publication Date:
23 April 2020 (online)
Aims ESGE published performance measures as benchmark for quality assessment in small-bowel capsule endoscopy (SBCE). The aim of this survey was to investigate the influence of ESGE guidelines in current SBCE practice.
Methods ESGE published performance measures as benchmark for quality assessment in small-bowel capsule endoscopy (SBCE). The aim of this survey was to investigate the influence of ESGE guidelines in current SBCE practice.
Results Excluding duplicates; 217 responses (73.7% from ESGE and 26.3% from non-ESGE countries) were analyzed. The majority (75.6%) of participants follow ESGE guidelines in their practice; 91% of the performed studies adhere to the ESGE recommended indications. Most (76.3%) respondents provide patients with verbal & written information mainly about indications (84%), contra-indications (70.8%), risk of retention (93.6%) and the need for bowel preparation (78%), before SBCE. In line with ESGE guidelines, participants recommend clear liquids diet (62.3%), administration of purgative agents (85.4%) and use of simethicone (73.2%), while 56% of them never give prokinetics before SBCE. Studies are read either on single (47.5%) or on dual view (44.2%), while 25% of the responders never inspect the mucosa in real time. More than 80% of respondents don’t measure the quality of bowel preparation, two thirds of them read and interpret the studies themselves and half of them use a patency capsule in selected cases. Use of emergency SBCE in cases with overt GI bleeding is recommended by 65.5% of the responders. SBCE is considered second-line exam for Crohn’s disease evaluation, limited to evaluation of disease extent in newly diagnosed patients (62.2%) and to mucosal healing assessment in established Crohn’s disease (54.3%).
Conclusions To a certain degree, endoscopists from ESGE and non-ESGE countries follow the Society’s guidelines on the use of SBCE in clinical practice. However, concordance gaps have been identified by the survey.
#