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Title: | Implementation of European Society of Gastrointestinal Endoscopy (ESGE) recommendations for small-bowel capsule endoscopy into clinical practice : results of an official ESGE survey |
Authors: | Lazaridis, Lazaros-Dimitrios Tziatzios, Georgios Toth, Ervin Beaumont, Hanneke Dray, Xavier Eliakim, Rami Ellul, Pierre Fernandez-Urien, Ignacio Keuchel, Martin Panter, Simon Rondonotti, Emanuele Rosa, Bruno Spada, Cristiano Jover, Rodrigo Bhandari, Pradeep Triantafyllou, Konstantinos Koulaouzidis, Anastasios |
Authors: | ESGE Research Committee Small-Bowel Working Group |
Keywords: | European Society of Gastrointestinal Endoscopy Capsule endoscopy Gastrointestinal system -- Examination Physician practice patterns Crohn's disease Ulcerative colitis Inflammatory bowel diseases |
Issue Date: | 2021 |
Publisher: | Georg Thieme Verlag |
Citation: | Lazaridis, L. D., Tziatzios, G., Toth, E., Beaumont, H., Dray, X., Eliakim, R., ... & ESGE Research Committee Small-Bowel Working Group. (2021). Implementation of European Society of Gastrointestinal Endoscopy (ESGE) recommendations for small-bowel capsule endoscopy into clinical practice : results of an official ESGE survey. Endoscopy, 53(09), 970-980. |
Abstract: | Background We aimed to document international practices in small-bowel capsule endoscopy (SBCE), measuring adherence to European Society of Gastrointestinal Endoscopy (ESGE) technical and clinical recommendations. Methods Participants reached through the ESGE contact list completed a 52-item web-based survey. Results 217 responded from 47 countries (176 and 41, respectively, from countries with or without a national society affiliated to ESGE). Of respondents, 45 % had undergone formal SBCE training. Among SBCE procedures, 91% were performed with an ESGE recommended indication, obscure gastrointestinal bleeding (OGIB), iron-deficiency anemia (IDA), and suspected/established Crohn’s disease being the commonest and with higher rates of positive findings (49.4 %, 38.2 % and 53.5 %, respectively). A watchful waiting strategy after a negative SBCE for OGIB or IDA was preferred by 46.7 % and 70.3 %, respectively. SBCE was a second-line exam for evaluation of extent of new Crohn’s disease for 62.2 % of respondents. Endoscopists adhered to varying extents to ESGE technical recommendations regarding bowel preparation ( > 60 %), use in those with pacemaker holders (62.5 %), patency capsule use (51.2 %), and use of a validated scale for bowel preparation assessment (13.3 %). Of the respondents, 67 % read and interpreted the exams themselves and 84 % classified exams findings as relevant or irrelevant. Two thirds anticipated future increase in SBCE demand. Inability to obtain tissue (78.3 %) and high cost (68.1 %) were regarded as the main limitations, and implementation of artificial intelligence as the top development priority (56.2 %). Conclusions To some extent, endoscopists follow ESGE guidelines on using SBCE in clinical practice. However, variations in practice have been identified, whose implications require further evaluation. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/120470 |
Appears in Collections: | Scholarly Works - FacM&SMed |
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