Prolonged video capsule endoscopy examination durations can improve capsule endoscopy completeness.
BMC Gastroenterol
; 24(1): 336, 2024 Sep 30.
Article
em En
| MEDLINE
| ID: mdl-39350010
ABSTRACT
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:
To evaluate the completeness and diagnostic yield of prolonged CE imaging in patients with suspected small bowel bleeding.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:
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:
Prolonged overnight CE examination can improve the completion rate and diagnostic yield and should be considered for routine clinical practice.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Endoscopia por Cápsula
/
Hemorragia Gastrointestinal
/
Intestino Delgado
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
BMC Gastroenterol
/
BMC gastroenterol. (Online)
/
BMC gastroenterology (Online)
Assunto da revista:
GASTROENTEROLOGIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Taiwan
País de publicação:
Reino Unido