Implementation of European Society of Gastrointestinal Endoscopy (ESGE) recommendations for small-bowel capsule endoscopy into clinical practice : Results of an official ESGE survey
(2021) In Endoscopy 53(9). p.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),... (More)
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 %).
(Less)
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.
- author
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Endoscopy
- volume
- 53
- issue
- 9
- pages
- 970 - 980
- publisher
- Georg Thieme Verlag
- external identifiers
-
- scopus:85113160955
- pmid:34320664
- ISSN
- 0013-726X
- DOI
- 10.1055/a-1541-2938
- language
- English
- LU publication?
- yes
- id
- 54eeaf85-33ee-4b8c-abf7-9de4ed6a7429
- date added to LUP
- 2021-09-06 09:35:26
- date last changed
- 2024-04-20 11:44:45
@article{54eeaf85-33ee-4b8c-abf7-9de4ed6a7429, abstract = {{<p><br> Background We aimed to <br> document international practices in small-bowel capsule endoscopy <br> (SBCE), measuring adherence to European Society of Gastrointestinal <br> Endoscopy (ESGE) technical and clinical recommendations.</p><br> <p><br> Methods Participants reached through the ESGE contact list completed a 52-item web-based survey.</p><br> <p><br> Results 217 responded from 47 <br> countries (176 and 41, respectively, from countries with or without a <br> national society affiliated to ESGE). Of respondents, 45 % had undergone<br> formal SBCE training. Among SBCE procedures, 91 % were performed with <br> an ESGE recommended indication, obscure gastrointestinal bleeding <br> (OGIB), iron-deficiency anemia (IDA), and suspected/established Crohn’s <br> disease being the commonest and with higher rates of positive findings <br> (49.4 %, 38.2 % and 53.5 %, respectively). A watchful waiting strategy <br> after a negative SBCE for OGIB or IDA was preferred by 46.7 % and <br> 70.3 %, respectively. SBCE was a second-line exam for evaluation of <br> extent of new Crohn’s disease for 62.2 % of respondents. Endoscopists <br> adhered to varying extents to ESGE technical recommendations regarding <br> bowel preparation ( > 60 %), use in those with pacemaker holders <br> (62.5 %), patency capsule use (51.2 %), and use of a validated scale for<br> bowel preparation assessment (13.3 %). Of the respondents, 67 % read <br> and interpreted the exams themselves and 84 % classified exams findings <br> as relevant or irrelevant. Two thirds anticipated future increase in <br> SBCE demand. Inability to obtain tissue (78.3 %) and high cost (68.1 %) <br> were regarded as the main limitations, and implementation of artificial <br> intelligence as the top development priority (56.2 %).</p><br> <p><br> Conclusions To some extent, <br> endoscopists follow ESGE guidelines on using SBCE in clinical practice. <br> However, variations in practice have been identified, whose implications<br> require further evaluation.</p>}}, author = {{Lazaridis, Lazaros Dimitrios and Tziatzios, Georgios and Toth, Ervin and Beaumont, Hanneke and Dray, Xavier and Eliakim, Rami and Ellul, Pierre and Fernandez-Urien, Ignacio and Keuchel, Martin and Panter, Simon and Rondonotti, Emanuele and Rosa, Bruno and Spada, Cristiano and Jover, Rodrigo and Bhandari, Pradeep and Triantafyllou, Konstantinos and Koulaouzidis, Anastasios}}, issn = {{0013-726X}}, language = {{eng}}, number = {{9}}, pages = {{970--980}}, publisher = {{Georg Thieme Verlag}}, series = {{Endoscopy}}, title = {{Implementation of European Society of Gastrointestinal Endoscopy (ESGE) recommendations for small-bowel capsule endoscopy into clinical practice : Results of an official ESGE survey}}, url = {{http://dx.doi.org/10.1055/a-1541-2938}}, doi = {{10.1055/a-1541-2938}}, volume = {{53}}, year = {{2021}}, }