Nomenclature and Definition of Atrophic Lesions in Small Bowel Capsule Endoscopy : A Delphi Consensus Statement of the International CApsule endoscopy REsearch (I-CARE) Group
(2022) In Diagnostics 12(7).- Abstract
(1) Background: Villous atrophy is an indication for small bowel capsule endoscopy (SBCE). However, SBCE findings are not described uniformly and atrophic features are sometimes not recognized; (2) Methods: The Delphi technique was employed to reach agreement among a panel of SBCE experts. The nomenclature and definitions of SBCE lesions suggesting the presence of atrophy were decided in a core group of 10 experts. Four images of each lesion were chosen from a large SBCE database and agreement on the correspondence between the picture and the definition was evaluated using the Delphi method in a broadened group of 36 experts. All images corresponded to histologically proven mucosal atrophy; (3) Results: Four types of atrophic lesions... (More)
(1) Background: Villous atrophy is an indication for small bowel capsule endoscopy (SBCE). However, SBCE findings are not described uniformly and atrophic features are sometimes not recognized; (2) Methods: The Delphi technique was employed to reach agreement among a panel of SBCE experts. The nomenclature and definitions of SBCE lesions suggesting the presence of atrophy were decided in a core group of 10 experts. Four images of each lesion were chosen from a large SBCE database and agreement on the correspondence between the picture and the definition was evaluated using the Delphi method in a broadened group of 36 experts. All images corresponded to histologically proven mucosal atrophy; (3) Results: Four types of atrophic lesions were identified: mosaicism, scalloping, folds reduction, and granular mucosa. The core group succeeded in reaching agreement on the nomenclature and the descriptions of these items. Consensus in matching the agreed definitions for the proposed set of images was met for mosaicism (88.9% in the first round), scalloping (97.2% in the first round), and folds reduction (94.4% in the first round), but granular mucosa failed to achieve consensus (75.0% in the third round); (4) Conclusions: Consensus among SBCE experts on atrophic lesions was met for the first time. Mosaicism, scalloping, and folds reduction are the most reliable signs, while the description of granular mucosa remains uncertain.
(Less)
- author
- organization
- publishing date
- 2022-07
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- consensus, small bowel atrophy, video-capsule enteroscopy
- in
- Diagnostics
- volume
- 12
- issue
- 7
- article number
- 1704
- publisher
- MDPI AG
- external identifiers
-
- pmid:35885608
- scopus:85139636068
- ISSN
- 2075-4418
- DOI
- 10.3390/diagnostics12071704
- language
- English
- LU publication?
- yes
- id
- 3caadae1-d4b4-4118-848c-fa5d01adae3b
- date added to LUP
- 2022-12-14 10:02:11
- date last changed
- 2024-04-14 10:18:55
@article{3caadae1-d4b4-4118-848c-fa5d01adae3b,
abstract = {{<p>(1) Background: Villous atrophy is an indication for small bowel capsule endoscopy (SBCE). However, SBCE findings are not described uniformly and atrophic features are sometimes not recognized; (2) Methods: The Delphi technique was employed to reach agreement among a panel of SBCE experts. The nomenclature and definitions of SBCE lesions suggesting the presence of atrophy were decided in a core group of 10 experts. Four images of each lesion were chosen from a large SBCE database and agreement on the correspondence between the picture and the definition was evaluated using the Delphi method in a broadened group of 36 experts. All images corresponded to histologically proven mucosal atrophy; (3) Results: Four types of atrophic lesions were identified: mosaicism, scalloping, folds reduction, and granular mucosa. The core group succeeded in reaching agreement on the nomenclature and the descriptions of these items. Consensus in matching the agreed definitions for the proposed set of images was met for mosaicism (88.9% in the first round), scalloping (97.2% in the first round), and folds reduction (94.4% in the first round), but granular mucosa failed to achieve consensus (75.0% in the third round); (4) Conclusions: Consensus among SBCE experts on atrophic lesions was met for the first time. Mosaicism, scalloping, and folds reduction are the most reliable signs, while the description of granular mucosa remains uncertain.</p>}},
author = {{Elli, Luca and Marinoni, Beatrice and Sidhu, Reena and Bojarski, Christian and Branchi, Federica and Tontini, Gian Eugenio and Chetcuti Zammit, Stefania and Khater, Sherine and Eliakim, Rami and Rondonotti, Emanuele and Saurin, Jean Cristhophe and Bruno, Mauro and Buchkremer, Juliane and Cadoni, Sergio and Cavallaro, Flaminia and Dray, Xavier and Ellul, Pierre and Urien, Ignacio Fernandez and Keuchel, Martin and Kopylov, Uri and Koulaouzidis, Anastasios and Leenhardt, Romain and Baltes, Peter and Beaumont, Hanneke and Marmo, Clelia and McNamara, Deirdre and Mussetto, Alessandro and Nemeth, Artur and Cuadrado Robles, Enrique Perez and Perrod, Guillame and Rahmi, Gabriel and Riccioni, Maria Elena and Robertson, Alexander and Spada, Cristiano and Toth, Ervin and Triantafyllou, Konstantinos and Wurm Johansson, Gabriele and Rimondi, Alessandro}},
issn = {{2075-4418}},
keywords = {{consensus; small bowel atrophy; video-capsule enteroscopy}},
language = {{eng}},
number = {{7}},
publisher = {{MDPI AG}},
series = {{Diagnostics}},
title = {{Nomenclature and Definition of Atrophic Lesions in Small Bowel Capsule Endoscopy : A Delphi Consensus Statement of the International CApsule endoscopy REsearch (I-CARE) Group}},
url = {{http://dx.doi.org/10.3390/diagnostics12071704}},
doi = {{10.3390/diagnostics12071704}},
volume = {{12}},
year = {{2022}},
}