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Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry

Authors :
Dae Young Cheung
Jin Su Kim
Jeong Seop Moon
Dong Kyung Chang
Jae Hyuk Do
Chi Yeon Lim
Byung Ik Jang
Hoon Jai Chun
Cheol Hee Park
Kwang Jae Lee
Jae Hee Cheon
Oh Young Lee
Ki-Nam Shim
Yoon Tae Jeen
Byong Duk Ye
Yun Jeong Lim
Hyun Joo Song
Myung-Gyu Choi
Jin Oh Kim
Source :
Clinical Endoscopy
Publication Year :
2015
Publisher :
The Korean Society of Gastrointestinal Endoscopy, 2015.

Abstract

Background/Aims Capsule endoscopy (CE) is widely used. However, CE has limitations including incomplete examination, inadequate bowel preparation, and retention. The aim of this study was to estimate the indications for and detection, completion, and retention rates of small intestine CE based on the 10-year data from the Korean Capsule Endoscopy Registry. Methods Twenty-four hospitals participated in this study. Clinical information, such as reasons for CE, method and quality of bowel preparation, and incomplete examination and capsule retention rates, was collected and analyzed. Results A total of 2,914 CEs were registered. The most common reason for CE was obscure gastrointestinal bleeding (59%). Significant lesions were detected in 66% of cases. Positive CE diagnosis occurred in 63% of cases. The preparation method did not significantly affect the quality of bowel preparation for CE. The overall incomplete rate was 33%, and was high in the elderly and those with poor bowel preparation. Capsule retention was 3% and high in patients with small bowel tumors and Crohn's disease and in children under 10 years of age. Conclusions CE is a valuable technique; while the overall detection rate is high, incompletion and retention rates are also relatively high. CE should be carefully considered in the elderly and children less than 10 years of age, as well as in patients with small bowel tumors and Crohn's disease.

Details

ISSN :
22342443 and 22342400
Volume :
48
Database :
OpenAIRE
Journal :
Clinical Endoscopy
Accession number :
edsair.doi.dedup.....06ee636c6bca7cc4a61011bb6b6f9a7d
Full Text :
https://doi.org/10.5946/ce.2015.48.5.399