Endoscopy 2018; 50(04): S20
DOI: 10.1055/s-0038-1637085
ESGE Days 2018 oral presentations
20.04.2018 – Small bowel
Georg Thieme Verlag KG Stuttgart · New York

INCIDENCE AND FACTORS ASSOCIATED WITH THE PRESENCE OF NON-SMALL BOWEL LESIONS IN PATIENTS UNDERGOING SMALL BOWEL CAPSULE ENDOSCOPY

JF Juanmartiñena Fernández
1   Complejo Hospitalario de Navarra, Gastrointestinal Department, Pamplona, Spain
,
L Casanova Ortiz
1   Complejo Hospitalario de Navarra, Gastrointestinal Department, Pamplona, Spain
,
S Albas Sorrosal
2   Complejo Hospitalario de Navarra, Internal Medicine, Pamplona, Spain
,
D Oyón Lara
1   Complejo Hospitalario de Navarra, Gastrointestinal Department, Pamplona, Spain
,
L Aburruza Ucar
1   Complejo Hospitalario de Navarra, Gastrointestinal Department, Pamplona, Spain
,
G González Gete
1   Complejo Hospitalario de Navarra, Gastrointestinal Department, Pamplona, Spain
,
I Fernández-Urién
1   Complejo Hospitalario de Navarra, Gastrointestinal Department, Pamplona, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

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Aims:

Capsule endoscopy is an easy and well-tolerated method to explore the small bowel. Due to its technical profile, it may sometimes reveal findings outside the small bowel and within the reach of conventional endoscopes. However, little is known in the literature about this topic. The purpose of the current study was to investigate those factors related to the presence of non-small bowel findings during capsule endoscopy.

Methods:

This study is a retrospective analysis of data from 1347 consecutive capsule endoscopy procedures performed at a single tertiary-care centre between 2010 and 2016. Patient demographics (age, gender, BMI, drugs and capsule indication), conventional endoscopy characteristics (lesions, endoscopist experience, colonic cleansing and sedation performance), time elapsed between both procedures (capsule and conventional endoscopy) and capsule endoscopy characteristics (lesions, readers experience and small bowel cleansing) were recorded. A descriptive analysis of factors and a chi-squared test for data comparison were performed.

Results:

1347 patients were finally included in the analysis. Seven hundred and six patients were female (52.4%) and the mean age was 56.2 ± 19.8 years (12 – 92). Obscure gastrointestinal bleeding (54.6%) and inflammatory bowel disease (19.8%) were the main indications. The incidence of non-small bowel lesions were: 34.3% esophagogastroduodenal and 8.5% colonic findings. Male gender, older age, obscure gastrointestinal bleeding, antiplatelet and anticoagulant medication, previous pathological conventional endoscopy, time elapsed < 3 days between procedures and high capsule reader experience showed statistical significant association (p-value < 0.05) with the presence of non-small bowel findings.

Conclusions:

All images outside the small bowel should be evaluated in patients undergoing capsule endoscopy as it may provide relevant information. Even more, whether some of the factors associated with the presence of non-small bowel lesions are presented.