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Predictive factors for complete and incomplete evaluation of small intestine by endoscopic capsule / Fatores preditivos para avaliação completa e incompleta do intestino delgado pela cápsula endoscópica
Scopel, Andréia Sopran; Tabushi, Fernando Issamu; Kubrusly, Luis Fernando; Poletti, Paula Bechara; Parada, Artur Adolfo; Moreira, Milena Perez; Secchi, Thiago Festa.
  • Scopel, Andréia Sopran; Mackenzie Evangelical Faculty of Paraná. Medical Research Institute. Postgraduate Program in Principles of Surgery. Curitiba. BR
  • Tabushi, Fernando Issamu; Mackenzie Evangelical Faculty of Paraná. Medical Research Institute. Postgraduate Program in Principles of Surgery. Curitiba. BR
  • Kubrusly, Luis Fernando; Mackenzie Evangelical Faculty of Paraná. Medical Research Institute. Postgraduate Program in Principles of Surgery. Curitiba. BR
  • Poletti, Paula Bechara; Mackenzie Evangelical Faculty of Paraná. Medical Research Institute. Postgraduate Program in Principles of Surgery. Curitiba. BR
  • Parada, Artur Adolfo; Mackenzie Evangelical Faculty of Paraná. Medical Research Institute. Postgraduate Program in Principles of Surgery. Curitiba. BR
  • Moreira, Milena Perez; Mackenzie Evangelical Faculty of Paraná. Medical Research Institute. Postgraduate Program in Principles of Surgery. Curitiba. BR
  • Secchi, Thiago Festa; 9 of July Hospital. Gastrointestinal Endoscopy Service. São Paulo. BR
ABCD (São Paulo, Impr.) ; 33(2): e1532, 2020. graf
Article in English | LILACS | ID: biblio-1130538
ABSTRACT
ABSTRACT

Background:

The small-bowel is the most difficult segment to be visualized by traditional endoscopic methods. The need for its exploration led to the development of capsule endoscopy. The percentage of the complete examination varies and still remains uncertain the factors that influence the complete and incomplete examination.

Aim:

Evaluate the factors that interfere with the completeness of the endoscopic evaluation by the capsule.

Methods:

A prospective study in which were included 939 patients divided into two groups complete group (CG) and incomplete group (IG). The studied variables that could interfere were age, gender, comorbidities, diagnosis of Crohn's disease, previous abdominal surgery, inadequate preparation to compare the groups reached and did not reach the cecum.

Results:

Of the 939 patients included 879 (93.3%) reached the cecum (CG) and 63 (6.7%) IG no. The IG was composed of 29 (46.0%) men and 34 (54.0%) women with a mean age of 49.7 years; comorbidities this group accounted for 46% of which 15.9% was Crohn's disease, previous abdominal surgery 22.2% and 17.5% inadequate preparation.

Conclusion:

Factors associated with complete or incomplete outcome of the examination with capsule endoscopy were associated comorbidities, Crohn's disease, previous abdominal surgery and inadequate preparation.
RESUMO
RESUMO Racional O intestino delgado é segmento de maior dificuldade na visualização pelos métodos endoscópicos tradicionais. A necessidade de explorá-lo levou ao desenvolvimento da cápsula endoscópica. A porcentagem do exame completo por ela varia e falta identificar fatores que influenciam o exame completo e incompleto.

Objetivo:

Avaliar os fatores que interfiram na completude do estudo endoscópico pela cápsula.

Método:

Estudo prospectivo onde foram incluídos 939 pacientes divididos em dois grupos grupo completo (GC) e grupo incompleto (GI). As variáveis analisadas que pudessem interferir foram idade, gênero, comorbidades associadas, diagnóstico de doença de Crohn, operações abdominais prévias, preparo inadequado para comparar os grupos que atingiram e não atingiram o ceco.

Resultados:

Dos 939 pacientes incluídos 879 (93,3%) atingiram o ceco (GC) e 63 (6,7%) GI não. O GI era composto por 29 (46,0%) homens e 34 (54,0%) mulheres com idade média de 49,7 anos; as comorbidades deste grupo corresponderam a 46%, das quais 15,9% era doença de Crohn, 22,2% operação abdominal prévia e 17,5% preparo inadequado.

Conclusão:

Os fatores associados ao desfecho completo ou incompleto do exame com a cápsula endoscópica foram comorbidades associadas, doença de Crohn, operação abdominal prévia e preparo inadequado.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Capsule Endoscopy / Intestine, Small Type of study: Observational study / Prognostic study / Risk factors Limits: Female / Humans / Male Language: English Journal: ABCD (São Paulo, Impr.) Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: 9 of July Hospital/BR / Mackenzie Evangelical Faculty of Paraná/BR

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Full text: Available Index: LILACS (Americas) Main subject: Capsule Endoscopy / Intestine, Small Type of study: Observational study / Prognostic study / Risk factors Limits: Female / Humans / Male Language: English Journal: ABCD (São Paulo, Impr.) Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: 9 of July Hospital/BR / Mackenzie Evangelical Faculty of Paraná/BR