Endoscopy 2019; 51(04): S180
DOI: 10.1055/s-0039-1681703
ESGE Days 2019 ePoster podium presentations
Saturday, April 6, 2019 13:00 – 13:30: SB Capsule 1 ePoster Podium 7
Georg Thieme Verlag KG Stuttgart · New York

RESULTS OF A SPANISH NATIONAL SURVEY OF CAPSULE ENDOSCOPY

, , Capsule endoscopy and enteroscopy working group of the Spanish Society of Digestive Endoscopy
C Carretero
1   Gastroenterology, University Clinic of Navarra, Pamplona, Spain
,
M Lujan
2   Gastroenterology, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
,
M Sanjuan
3   Gastroenterology, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
,
F Argüelles
4   Gastroenterology, Hospital Virgen Macarena, Sevilla, Spain
,
I Fernandez-Urien
5   Gastroenterology, Complejo Hospitalario de Navarra, Pamplona, Spain
,
B Gonzalez
6   Gastroenterology, Hospital Clinic de Barcelona, Barcelona, Spain
,
E Perez-Cuadrado Robles
7   Gastroenterology, Hospital Saint Luc, Bruselas, Spain
,
F Sanchez
8   Gastroenterology, Hospital Clínico San Carlos, Madrid, Spain
,
J Valle
9   Gastroenterology, Complejo Hospitalario de Toledo, Toledo, Spain
,
O Nogales
10   Gastroenterology, Hospital Gregorio Marañon, Madrid, Spain
,
V Pons
11   Gastroenterology, Hospital La Fe, Valencia, Spain
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Publikationsverlauf

Publikationsdatum:
18. März 2019 (online)

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Aims:

To compare the use of capsule endoscopy in Spain with the ESGE technical review recommendations.

Methods:

Online survey including 42 items.

Results:

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).

Conclusions:

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.