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DOI: 10.1055/a-2252-8946
A comprehensive examination of small-bowel capsule endoscopy in Spanish centers to meet European Society of Gastrointestinal Endoscopy standards
Abstract
Background and study aims In 2019, the European Society of Gastrointestinal Endoscopy (ESGE) created a working group to develop technical and quality standards for small-bowel capsule endoscopy (SBCE) to improve the daily practice of endoscopy services. They developed 10 quality parameters, which have yet to be tested in a real-life setting. Our study aimed to evaluate the accomplishment of the quality standards in SBCE established by the ESGE in several Spanish centers.
Materials and methods An online survey of 11 multiple-choice questions related to the ESGE performance measures was sent to Spanish centers with experience in SBCE. In order to participate and obtain reliable data, at least 100 questionnaires had to be answered per center because that is the minimum number established by ESGE.
Results 20 centers participated in the study, compiling 2049 SBCEs for the analysis. Only one of 10 performance measures (cecal visualization) reached the minimum standard established by the ESGE. In five of 10 performance measures (Indication, lesion detection rate, terminology, and retention rate) the minimum standard was nearly achieved.
Conclusions Our study is the first multicenter study regarding SBCE quality performance measures in a real setting. Our results show that the minimum standard is hardly reached in most procedures, which calls into question their clinical applicability in real life. We suggest performing similar studies in other countries to evaluate whether there is a need for quality improvement programs or a need to reevaluate the minimum and target values published so far.
Keywords
Endoscopy Small Bowel - Capsule endoscopy - Quality management - Small intestinal bleeding - Statistics - Quality and logistical aspects - Performance and complicationsPublikationsverlauf
Eingereicht: 17. September 2023
Angenommen nach Revision: 19. Januar 2024
Artikel online veröffentlicht:
07. März 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
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References
- 1 Adler SN. The history of time for capsule endoscopy. Ann Transl Med 2017; 5: 194
- 2 Wang A, Banerjee S, Barth BA. et al. Wireless capsule endoscopy. Gastrointest Endosc 2013; 78: 805-815
- 3 Adler SN. What we have learned and what to expect from capsule endoscopy. World J Gastrointest Endosc 2012; 4: 448
- 4 Pennazio M, Spada C, Eliakim R. et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2015; 47: 352-376
- 5 Pennazio M, Rondonotti E, Despott EJ. et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2022. Endoscopy 2023; 55: 58-95
- 6 Rondonotti E, Spada C, Adler S. et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review. Endoscopy 2018; 50: 423-446
- 7 Spada C, McNamara D, Despott EJ. et al. Performance measures for small-bowel endoscopy: A European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy 2019; 51: 574-598
- 8 Sidhu R, Chetcuti Zammit S, Baltes P. et al. Curriculum for small-bowel capsule endoscopy and device-assisted enteroscopy training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy 2020; 52: 669-686
- 9 Saurin JC, Delvaux M, Gaudin JL. et al. Diagnostic value of endoscopic capsule in patients with obscure digestive bleeding: blinded comparison with video push-enteroscopy. Endoscopy 2003; 35: 576-584
- 10 Rondonotti E, Spada C, Pennazio M. et al. Adherence to European Society of Gastrointestinal Endoscopy recommendations of endoscopists performing small bowel capsule endoscopy in Italy. Digest Liver Dis 2019; 51: 818-823
- 11 Rondonotti E, Spada C, Cadoni S. et al. Quality performance measures for small capsule endoscopy: Are the ESGE quality standards met?. Endosc Int Open 2021; 9: E122-E129
- 12 Wu S, Gao YJ, Ge ZZ. Optimal use of polyethylene glycol for preparation of small bowel video capsule endoscopy: a network meta-analysis. Curr Med Res Opin 2017; 33: 1149-1154
- 13 Gkolfakis P, Tziatzios G, Dimitriadis G. et al. Meta-analysis of randomized controlled trials challenging the usefulness of purgative preparation before small-bowel video capsule endoscopy. Endoscopy 2018; 50: 671-683
- 14 Lamba M, Ryan K, Hwang J. et al. linical utility of purgative bowel preparation before capsule endoscopy: a multicenter, blinded, randomized controlled trial. Gastrointest Endosc 2022; 96: 822-828.e1
- 15 Marmo C, Riccioni ME, Pennazio M. et al. Small bowel cleansing for capsule endoscopy, systematic review and meta- analysis: Timing is the real issue. Dig Liver Dis 2023; 55: 454-463
- 16 Gomes C, Pinho R, Rodrigues A. et al. Impact of the timing of capsule endoscopy in overt obscure gastrointestinal bleeding on yield and rebleeding rate – is sooner than 14 d advisable?. World J Gastrointest Endosc 2018; 10: 74-82
- 17 Iio S, Oka S, Tanaka S. et al. Clinical utility of emergency capsule endoscopy for diagnosing the source and nature of ongoing overt obscure gastrointestinal bleeding. Gastroenterol Res Pract 2019; 2019: 5496242
- 18 Chao CC, Mo LR, Hu SC. The optimal timing for using capsule endoscopy for patients with gastrointestinal bleeding. Biomed Res Int 2021; 2021: 7605324
- 19 Yung DE, Koulaouzidis A, Douglas S. et al. Earlier use of capsule endoscopy in inpatients with melena or severe iron deficiency anemia reduces need for colonoscopy and shortens hospital stay. Endosc Int Open 2018; 6: E1075-E1084
- 20 Uchida G, Nakamura M, Yamamura T. et al. Systematic review and meta-analysis of the diagnostic and therapeutic yield of small bowel endoscopy in patients with overt small bowel bleeding. Dig Endosc 2021; 33: 66-82
- 21 Fernández-Urién I, Carretero C, González B. et al. Incidence, clinical outcomes, and therapeutic approaches of capsule endoscopy-related adverse events in a large study population. Revista espanola de enfermedades digestivas 2015; 107: 745-752
- 22 Rezapour M, Amadi C, Gerson LB. Retention associated with video capsule endoscopy: systematic review and meta-analysis. Gastrointest Endosc 2017; 85: 1157-1168.e2
- 23 Kopylov U, Nemeth A, Cebrian A. et al. Symptomatic retention of the patency capsule: a multicenter real life case series. Endosc Int Open 2016; 4: E964-E969
- 24 Rozendorn N, Klang E, Lahat A. et al. Prediction of patency capsule retention in known Crohn’s disease patients by using magnetic resonance imaging. Gastrointest Endosc 2016; 83: 182-187
- 25 Liao Z, Gao R, Xu C. et al. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review. Gastrointest Endosc 2010; 71: 280-286
- 26 Rondonotti E, Soncini M, Girelli CM. et al. Negative small-bowel cross-sectional imaging does not exclude capsule retention in high-risk patients. Eur J Gastroenterol Hepatol 2016; 28: 871-875
- 27 Pasha SF, Pennazio M, Rondonotti E. et al. Capsule retention in Crohn’s disease: a meta-analysis. Inflamm Bowel Dis 2020; 26: 33-42