Endoscopy 2020; 52(S 01): S40-S41
DOI: 10.1055/s-0040-1704125
ESGE Days 2020 oral presentations
Thursday, April 23, 2020 08:30 – 10:00 Take a pill Wicklow Meeting Room 3
© Georg Thieme Verlag KG Stuttgart · New York

CURRENT SMALL-BOWEL CAPSULE ENDOSCOPY PRACTICE: AN OFFICIAL ESGE SURVEY

K Triantafyllou
1   Medical School, National and Kapodistrian University of Athens, Hepatogastroenterology Unit, 2nd Department of Internal Medicine-Propaedeutic, Athens, Greece
,
LD Lazaridis
2   Attikon University General Hospital, Hepatogastroenterology Unit, 2nd Department of Internal Medicine-Propaedeutic, Athens, Greece
,
H Beaumont
3   VU Medical Center, Department of Gastroenterology, Amsterdam, Netherlands
,
X Dray
4   Sorbonne Université, Endoscopy Unit, APHP, Saint-Antoine Hospital, Paris, France
,
R Eliakim
5   Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
,
P Ellul
6   Mater Dei Hospital, Division of Gastroenterology, Lavaleta, Malta
,
I Fernández-Urién
7   Complejo Hospitalario de Navarra, Pamplona, Spain
,
M Keuchel
8   Bethesda Krankenhaus Bergedorf, Clinic for Internal Medicine, Hamburg, Germany
,
S Panter
9   South Tyneside and Sunderland NHS Foundation Trust, South Shields, UK
,
E Rondonotti
10   Valduce Hospital, Gastroenterology Unit, Como, Italy
,
B Rosa
11   Hospital da Senhora da Oliveira, Gastroenterology Department, Guimarães, Portugal
,
C Spada
12   Fondazione Poliambulanza, Digestive Endoscopy Unit and Gastroenterology, Brescia, Italy
,
E Toth
13   Skåne University Hospital, Lund University, Department of Gastroenterology, Malmö, Sweden
,
R Jover
14   Hospital General Universitario de Alicante, Instituto de Investigación Sanitaria ISABIAL, Servicio de Medicina Digestiva, Alicante, Spain
,
P Bhandari
15   Queen Alexandra Hospital Portsmouth, Department of Gastroenterology, Portsmouth, UK
,
A Koulaouzidis
16   The Royal Infirmary of Edinburgh, Centre for Liver and Digestive Disorders, Edinburgh, UK
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 

Aims Small-bowel capsule endoscopy (SBCE) is the first-line diagnostic investigation for the small-bowel mucosa. This survey aimed to investigate the position of SBCE in current practice.

Methods Survey was conducted using the ESGE website from July to November 2019, by sending a SurveyMonkey questionnaire to the members of ESGE contact list. Endoscopists with interest in SBCE were asked to answer 18 questions regarding their SBCE practice.

Results Excluding duplicates; 217 responses (73.3% from ESGE and 26.3% from non-ESGE countries) were analyzed. SBCE is usually performed in a Hospital setting (74.7%). Most responders perform SBCE only in adults (75%) while 24% of them have experience in both adults and children. Responders experience with SBCE was 8.6 ± 6.3 years and only 45% of them had undergone formal training. SBCE is reimbursed always in the clinical practice of 43.2% of the respondents and in selected indications in 28.6 % of the practices. 61.% of the participants have noticed an increase in demand for SBCE and almost the same anticipate definite or possible increase in demand over the next 5 years. The main indications for the examination are overt GI bleeding, iron deficiency anemia and suspected or established Crohn’s disease (44.5%, 29.2% and 18% of cases, respectively) and most of the respondents don’t foresee significant changes in the current indications mix in the future. Evaluation of obscure GI bleeding and established Crohn’s disease are associated with the higher rates of exam’s positive findings (50% and 53.5%, respectively). Finally, half of the responders wish to extend SBCE indications to unexplained iron deficiency without anaemia.

Conclusions SBCE demand is expected to increase for the evaluation of small-bowel bleeding, iron deficiency anemia and Crohn’s disease. Lack of universal reimbursement and formal training are anticipated as major obstacles in clinical practice.