Prolonged video capsule endoscopy examination durations can improve capsule endoscopy completeness.
Capsule endoscopy
Completion rate
Diagnostic yield
Suspected small bowel bleeding
Journal
BMC gastroenterology
ISSN: 1471-230X
Titre abrégé: BMC Gastroenterol
Pays: England
ID NLM: 100968547
Informations de publication
Date de publication:
30 Sep 2024
30 Sep 2024
Historique:
received:
08
05
2024
accepted:
17
09
2024
medline:
1
10
2024
pubmed:
1
10
2024
entrez:
30
9
2024
Statut:
epublish
Résumé
Capsule endoscopy (CE) is useful for managing patients with suspected small bowel diseases. However, the effect of prolonged CE examination time on CE performance is unknown. To evaluate the completeness and diagnostic yield of prolonged CE imaging in patients with suspected small bowel bleeding. We reviewed consecutive records of adult CE examinations via an overnight protocol from Jan 2016 to Dec 2020 at a tertiary center in Taiwan. We subcategorized the CE records by recording length into within 8 h, within 12 h and throughout the whole procedure and compared the completion rate and diagnostic yield between the groups. Cochran's Q test was used for statistical analysis. A total of 88 patients were enrolled with 78.4% inpatients (median age 72 years). The small bowel evaluation completion rate was 93.2%, which was significantly greater than the 79.5% rate within 12 h (p = 0.025) and the 58% rate within 8 h (p < 0.001). The diagnostic yield was 83% in the whole-course overnight study, which was significantly greater than the 71.6% diagnostic yield within 8 h (p < 0.001) and similar to the 81.8% diagnostic yield within 12 h. Prolonged overnight CE examination can improve the completion rate and diagnostic yield and should be considered for routine clinical practice.
Sections du résumé
BACKGROUND
BACKGROUND
Capsule endoscopy (CE) is useful for managing patients with suspected small bowel diseases. However, the effect of prolonged CE examination time on CE performance is unknown.
AIM
OBJECTIVE
To evaluate the completeness and diagnostic yield of prolonged CE imaging in patients with suspected small bowel bleeding.
METHODS
METHODS
We reviewed consecutive records of adult CE examinations via an overnight protocol from Jan 2016 to Dec 2020 at a tertiary center in Taiwan. We subcategorized the CE records by recording length into within 8 h, within 12 h and throughout the whole procedure and compared the completion rate and diagnostic yield between the groups. Cochran's Q test was used for statistical analysis.
RESULTS
RESULTS
A total of 88 patients were enrolled with 78.4% inpatients (median age 72 years). The small bowel evaluation completion rate was 93.2%, which was significantly greater than the 79.5% rate within 12 h (p = 0.025) and the 58% rate within 8 h (p < 0.001). The diagnostic yield was 83% in the whole-course overnight study, which was significantly greater than the 71.6% diagnostic yield within 8 h (p < 0.001) and similar to the 81.8% diagnostic yield within 12 h.
CONCLUSION
CONCLUSIONS
Prolonged overnight CE examination can improve the completion rate and diagnostic yield and should be considered for routine clinical practice.
Identifiants
pubmed: 39350010
doi: 10.1186/s12876-024-03423-4
pii: 10.1186/s12876-024-03423-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
336Subventions
Organisme : Ministry of Science and Technology, Taiwan
ID : MOST 111-2628-B-075-011
Organisme : Taipei Veterans General Hospital,Taiwan
ID : V112C-088
Organisme : Taipei Veterans General Hospital
ID : V113C-105
Informations de copyright
© 2024. The Author(s).
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