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CC BY-NC-ND 4.0 · Endosc Int Open 2024; 12(03): E344-E351
DOI: 10.1055/a-2252-8946
Original article

A comprehensive examination of small-bowel capsule endoscopy in Spanish centers to meet European Society of Gastrointestinal Endoscopy standards

Míriam Gómez Villagrá 
1   Gastroenterology, Hospital San Eloy, Barakaldo, Spain (Ringgold ID: RIN16251)
,
César Prieto de Frías
2   Gastroenterology, Clinica Universidad de Navarra, Spain (Ringgold ID: RIN16755)
,
Diego Martinez-Acitores de la Mata
3   Endoscopy Unit. Gastroenterology Dpt., Hospital Universitario Miguel Servet, Zaragoza, Spain (Ringgold ID: RIN16488)
,
Maite Alonso-Sierra
2   Gastroenterology, Clinica Universidad de Navarra, Spain (Ringgold ID: RIN16755)
,
Noelia Alonso-Lazaro
4   Digestive Endoscopy Unit, Gastrointestinal Endoscopy Research Group, IIS Hospital La Fe, Hospital Universitari i Politecnic La Fe, Valencia, Spain (Ringgold ID: RIN16273)
,
Noemí Caballero
5   Gastroenterology/Endoscopy, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
,
Francisco Sanchez Ceballos
6   Gastroenterology, Hospital Clínico San Carlos, Madrid, Spain (Ringgold ID: RIN16267)
,
Luis Compañy
7   Endoscopy Unit, Hospital General Universitari d'Alacant, Alicante, Spain (Ringgold ID: RIN16802)
,
Juan Egea Valenzuela
8   Unidad de Gestion Clinica de Digestivo, Hospital Clinico Universitario Virgen de la Arrixaca, El Palmar, Spain (Ringgold ID: RIN16518)
,
Pilar Esteban
9   Gastroenterology, HU Morales Meseguer, Murcia, Spain
,
Sergio Farráis
10   Aparato Digestivo, Hospital Universitario Fundacion Jimenez Diaz, Madrid, Spain (Ringgold ID: RIN16436)
,
Ignacio Fernández-Urién
2   Gastroenterology, Clinica Universidad de Navarra, Spain (Ringgold ID: RIN16755)
,
Consuelo Galvez
11   Gastroenterology, Hospital Clinic Universitari de Valencia, Valencia, Spain
,
Almudena García
12   Gastroenterology, Hospital Universitario de Toledo, Toledo, Spain (Ringgold ID: RIN525169)
,
Javier García Lledó
13   Dept. of Gastroenterology, HGU Gregorio Marañon, Madrid, Spain
,
Begoña González Suárez 
14   Servicio de Gastroenterología, Hospital Clínic de Barcelona ICMiD, Barcelona, Spain (Ringgold ID: RIN537521)
,
Victoria-Alejandra Jiménez-García
15   Gastroenterology, Virgen Macarena University Hospital, Seville, Spain
,
Marisol Lujan-Sanchís
16   Gastroenterology, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
,
Beatriz Mateos Muñoz
17   Gastroenterology, Hospital Universitario Ramon y Cajal, Madrid, Spain (Ringgold ID: RIN16507)
,
Cristina Romero-Mascarell
18   Gastroenterology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain (Ringgold ID: RIN16689)
,
Mileidis San Juan Acosta
19   Dept. of Gastroenterology, Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, Spain (Ringgold ID: RIN16825)
,
Eduardo Valdivielso Cortázar
20   Gastroenterology, Complexo Hospitalario Universitario A Coruña, A Coruna, Spain (Ringgold ID: RIN16811)
,
Antonio Giordano
21   Gastroenterology Department, Hospital Clinic de Barcelona, Barcelona, Spain (Ringgold ID: RIN16493)
22   IDIBAPS, Barcelona, Spain (Ringgold ID: RIN146245)
,
Cristina Carretero
2   Gastroenterology, Clinica Universidad de Navarra, Spain (Ringgold ID: RIN16755)
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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 complications

Supplementary Material



Publication History

Received: 17 September 2023

Accepted after revision: 19 January 2024

Article published online:
07 March 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
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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