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Incidence, clinical outcomes, and therapeutic approaches of capsule endoscopy-related adverse events in a large study population
Fernández-Urien, Ignacio; Carretero, Cristina; González, Begoña; Pons, Vicente; Caunedo, Ángel; Valle, Julio; Redondo-Cerezo, Eduardo; López-Higueras, Antonio; Valdés, Mariano; Menchen, Pedro; Fernández, Pedro; Muñoz-Navas, Miguel; Jiménez, Javier; Herrerías, Juan Manuel.
Affiliation
  • Fernández-Urien, Ignacio; Complejo Hospital de Navarra. Department of Gastroenterology. Pamplona. Spain
  • Carretero, Cristina; Universidad de Navarra. Pamplona. Spain
  • González, Begoña; Hospital Clínic. Barcelona. Spain
  • Pons, Vicente; Hospital Universitario y Politécnico La Fe. Valencia. Spain
  • Caunedo, Ángel; Hospital Universitario Virgen Macarena. Sevilla. Spain
  • Valle, Julio; Complejo Hospitalario de Toledo. Toledo. Spain
  • Redondo-Cerezo, Eduardo; Hospital Virgen de las Nieves. Granada. Spain
  • López-Higueras, Antonio; Hospital General Universitario Morales Messeguer. Murcia. Spain
  • Valdés, Mariano; Hospital Universitario Virgen de la Arrixaca. Murcia. Spain
  • Menchen, Pedro; Hospital General Universitario Gregorio Marañon. Madrid. Spain
  • Fernández, Pedro; Hospital Universitario Marqués de Valdecilla. Santander. Spain
  • Muñoz-Navas, Miguel; Universidad de Navarra. Pamplona. Spain
  • Jiménez, Javier; Complejo Hospital de Navarra. Department of Gastroenterology. Pamplona. Spain
  • Herrerías, Juan Manuel; Hospital Universitario Virgen Macarena. Sevilla. Spain
Rev. esp. enferm. dig ; 107(12): 745-752, dic. 2015. tab, ilus
Article in English | IBECS | ID: ibc-146742
Responsible library: ES1.1
Localization: BNCS
ABSTRACT

INTRODUCTION:

Capsule endoscopy (CE) has become a first-line tool for small bowel (SB) examination. However, adverse events (AEs), such as CE retention or aspiration, may occur. The aims of this study were to evaluate incidence, clinical outcomes and therapeutic approaches of CE-related AEs in the largest series published to date.

METHODS:

Data from 5428 procedures performed at 12 institutions between August 2001 and January 2012 were retrospectively analyzed. Baseline patient characteristics; procedure; type, localization and symptoms before/after AEs; previous patency tests performed; therapeutic management and patient's outcome were recorded.

RESULTS:

The overall incidence of CE-related AEs was 1.9% 2.0% for SB, 0.9% for esophageal and 0.5% for colon CE. The incidence of capsule retention was significantly higher than capsule aspiration (1.87% vs. 0.003%; p < 0.05), in patients suffering from inflammatory bowel disease (IBD) than in obscure GI bleeding (OGIB) (3.3% vs. 1.5%; p < 0.05) and in patients with the combination of nausea/vomiting, abdominal pain and distension. The SB was the most frequent localization of retention (88.2%). The use of patency tests -except for Patency© capsule- before CE was not a good predictor for AEs. Most of the patients with AEs developed no or mild symptoms (97%) and were managed by non-surgical methods (64.4%).

CONCLUSIONS:

CE-related AEs are uncommon and difficult to predict by imagiological examinations. SB retention, that is usually asymptomatic, is the most frequent AE. In absence of symptoms, non-surgical management of CE-related AEs is recommended
Subject(s)
Full text: Available Collection: National databases / Spain Health context: Neglected Diseases Health problem: Diarrhea Database: IBECS Main subject: Capsule Endoscopy / Capsule Endoscopes Type of study: Diagnostic study / Etiology study / Incidence study / Prognostic study / Risk factors Language: English Journal: Rev. esp. enferm. dig Year: 2015 Document type: Article Institution/Affiliation country: Complejo Hospital de Navarra/Spain / Complejo Hospitalario de Toledo/Spain / Hospital Clínic/Spain / Hospital General Universitario Gregorio Marañon/Spain / Hospital General Universitario Morales Messeguer/Spain / Hospital Universitario Marqués de Valdecilla/Spain / Hospital Universitario Virgen Macarena/Spain / Hospital Universitario Virgen de la Arrixaca/Spain / Hospital Universitario y Politécnico La Fe/Spain / Hospital Virgen de las Nieves/Spain
Full text: Available Collection: National databases / Spain Health context: Neglected Diseases Health problem: Diarrhea Database: IBECS Main subject: Capsule Endoscopy / Capsule Endoscopes Type of study: Diagnostic study / Etiology study / Incidence study / Prognostic study / Risk factors Language: English Journal: Rev. esp. enferm. dig Year: 2015 Document type: Article Institution/Affiliation country: Complejo Hospital de Navarra/Spain / Complejo Hospitalario de Toledo/Spain / Hospital Clínic/Spain / Hospital General Universitario Gregorio Marañon/Spain / Hospital General Universitario Morales Messeguer/Spain / Hospital Universitario Marqués de Valdecilla/Spain / Hospital Universitario Virgen Macarena/Spain / Hospital Universitario Virgen de la Arrixaca/Spain / Hospital Universitario y Politécnico La Fe/Spain / Hospital Virgen de las Nieves/Spain
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