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Implementation of European Society of Gastrointestinal Endoscopy (ESGE) recommendations for small-bowel capsule endoscopy into clinical practice : Results of an official ESGE survey

Lazaridis, Lazaros Dimitrios ; Tziatzios, Georgios ; Toth, Ervin LU ; Beaumont, Hanneke ; Dray, Xavier ; Eliakim, Rami ; Ellul, Pierre ; Fernandez-Urien, Ignacio ; Keuchel, Martin and Panter, Simon , et al. (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 %).



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.

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organization
publishing date
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 ( &gt; 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}},
}