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.

Lazaridis, L. -., Tziatzios, G., Toth, E., Beaumont, H., Dray, X., Eliakim, R., Ellul, P., Fernandez-Urien, I., Keuchel, M., Panter, S., Rondonotti, E., Rosa, B., Spada, C., Jover, R., Bhandari, P., Triantafyllou, K., Koulaouzidis, A., Implementation of European Society of Gastrointestinal Endoscopy (ESGE) recommendations for small-bowel capsule endoscopy into clinical practice: Results of an official ESGE survey, <<ENDOSCOPY>>, 2021; 53 (9): 970-980. [doi:10.1055/a-1541-2938] [https://hdl.handle.net/10807/250540]

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

Spada, Cristiano;
2021

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.
2021
Inglese
Lazaridis, L. -., Tziatzios, G., Toth, E., Beaumont, H., Dray, X., Eliakim, R., Ellul, P., Fernandez-Urien, I., Keuchel, M., Panter, S., Rondonotti, E., Rosa, B., Spada, C., Jover, R., Bhandari, P., Triantafyllou, K., Koulaouzidis, A., Implementation of European Society of Gastrointestinal Endoscopy (ESGE) recommendations for small-bowel capsule endoscopy into clinical practice: Results of an official ESGE survey, <<ENDOSCOPY>>, 2021; 53 (9): 970-980. [doi:10.1055/a-1541-2938] [https://hdl.handle.net/10807/250540]
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