Endoscopy 2019; 51(04): S188
DOI: 10.1055/s-0039-1681727
ESGE Days 2019 ePoster podium presentations
Saturday, April 6, 2019 13:30 – 14:00: SB Capsule 2 ePoster Podium 7
Georg Thieme Verlag KG Stuttgart · New York

INCOMPLETE SMALL BOWEL CAPSULE ENTEROSCOPY: STILL ROOM FOR IMPROVEMENT?

R Magalhaes
1   Gastrenterology, Hospital Senhora da Oliveira, Guimarães, Portugal
2   Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
3   ICVS/3B's, PT Government Associate Laboratory, Guimarães/Braga, Portugal
,
P Boal Carvalho
1   Gastrenterology, Hospital Senhora da Oliveira, Guimarães, Portugal
2   Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
3   ICVS/3B's, PT Government Associate Laboratory, Guimarães/Braga, Portugal
,
B Rosa
1   Gastrenterology, Hospital Senhora da Oliveira, Guimarães, Portugal
2   Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
3   ICVS/3B's, PT Government Associate Laboratory, Guimarães/Braga, Portugal
,
M Joao Moreira
1   Gastrenterology, Hospital Senhora da Oliveira, Guimarães, Portugal
2   Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
3   ICVS/3B's, PT Government Associate Laboratory, Guimarães/Braga, Portugal
,
J Cotter
1   Gastrenterology, Hospital Senhora da Oliveira, Guimarães, Portugal
2   Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal
3   ICVS/3B's, PT Government Associate Laboratory, Guimarães/Braga, Portugal
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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Aims:

Small bowel capsule enteroscopy (SBCE) is considered incomplete when the dispositive does not reach the cecum during battery time. Incompletion rates go up to 15%, as described in several cohorts. Acknowledging risk factors is imperative to determine individual hazards and implement protocols that could reduce this limitation.

Primary: To identify predictive factors that lead to incomplete SBCE.

Secondary: To assess a department protocol for SBCE.

Methods:

Retrospective, single center study, including consecutive patients that underwent SBCE for mixed indications, from June 2016 to August 2018.

We applied a department protocol that includes real time viewer, prokinetic usage and upper endoscopy SBCE relocation.

The correlation towards the outcome variable (incomplete SBCE) was assessed with univariate and multivariate analysis, using SPSS – p value < 0.05 was considered statistically significant.

Results:

We assessed 310 patients, of whom 209 (67.4%) were female, and a mean age of 49 years old. Iron deficient anemia (124; 40%) and suspected Crohn's disease (CD) (120; 38.7%) were the main indications for SBCE.

We observed a 6.5% rate of incomplete SBCE, a total of 20 incomplete procedures.

Variables like patient's lack of autonomy, bedridden, hospitalization at the time of the procedure, previous abdominal surgery, usage of anticholinergics and opioid drugs, age and Charlson score were significantly correlated with Incomplete SBCE (p < 0.005).

Conclusions:

We report an incomplete SBCE rate inferior to several cohorts previously studied, acknowledging the efficacy of the department protocol. However, the limitation still persists, being important to distinguish variables directly associated with incomplete procedures, for further optimization of SBCE protocols, aiming at a 100% completion rate.