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RESULTS OF A SPANISH NATIONAL SURVEY OF CAPSULE ENDOSCOPY
18 March 2019 (online)
To compare the use of capsule endoscopy in Spain with the ESGE technical review recommendations.
Online survey including 42 items.
153 capsule readers answered the survey, 60.1% experienced (> 5 years) and 60.2% having attended a dedicated capsule course. 49.7% lack specific reading time within their working schedule.
The mean reading speed is 11 fps, with 57.5% of readers reading faster than the recommended speed (10 fps).
49% of readers recommend a low fiber diet+liquid diet the day before ingestion and 46.4% recommend the use of laxatives before capsule ingestion. 46.3% use 2 liters of PEG and 26.8% PEG+ascorbic acid.
9.3% use prokinetics in their daily practice and 24.7% recommend the use of antifoaming routinely.
In 54.1% of cases, patients are allowed to start liquid diet 2h after capsule ingestion, and 49.7% are allowed to start solid diet 4h after capsule ingestion.
42.5% offers patency capsule only when there is risk of capsule retention, meaning an overuse of patency capsule in 57.5% of cases.
If capsule hasn't reached the cecum within battery lifetime, excretion should be confirmed. We found that 59.5% of readers are used to contact the patient to check capsule egestion and 29.1% directly recommend an abdominal x-ray.
ESGE recommend the use of standardized scores, when possible. We have asked about the use of CEST (Capsule Endoscopy Structured Terminology) and only 29.4% use CEST, with 7.8% not knowing what CEST is. Among the CEST users, 66% have attended to a capsule dedicated course (p < 0.05).
The use of capsule in Spain have room for improvement regarding ESGE recommendations, especially in the use of laxatives, antifoaming agents, patency capsule and use of standardized scores.