Endoscopy 2020; 52(S 01): S158-S159
DOI: 10.1055/s-0040-1704487
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 09:00 – 09:30 Capsule 1 ePoster Podium 7
© Georg Thieme Verlag KG Stuttgart · New York

ESGE GUIDELINES FOR SMALL-BOWEL CAPSULE ENDOSCOPY: FROM RECOMMENDATIONS TO PRACTICE

K Triantafyllou
1   Medical School, National and Kapodistrian University of Athens, Hepatogastroenterology Unit, 2nd Department of Internal Medicine-Propaedeutic, Athens, Greece
,
LD Lazaridis
1   Medical School, National and Kapodistrian University of Athens, Hepatogastroenterology Unit, 2nd Department of Internal Medicine-Propaedeutic, Athens, Greece
,
H Beaumont
2   VU Medical Center, Department of Gastroenterology, Amsterdam, Netherlands
,
X Dray
3   Sorbonne Université, Endoscopy Unit, APHP, Saint-Antoine Hospital, Paris, France
,
R Eliakim
4   Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
,
P Ellul
5   Mater Dei Hospital, Division of Gastroenterology, Lavaleta, Malta
,
I Fernández-Urién
6   Complejo Hospitalario de Navarra, Pamplona, Spain
,
M Keuchel
7   Bethesda Krankenhaus Bergedorf, Clinic for Internal Medicine, Hamburg, Germany
,
S Panter
8   South Tyneside and Sunderland NHS Foundation Trust, South Shields, UK
,
E Rondonotti
9   Valduce Hospital, Gastroenterology Unit, Como, Italy
,
B Rosa
10   Hospital da Senhora da Oliveira, Gastroenterology Department, Guimarães, Portugal
,
C Spada
11   Fondazione Poliambulanza, Digestive Endoscopy Unit and Gastroenterology, Brescia, Italy
,
E Toth
12   Skåne University Hospital, Lund University, Department of Gastroenterology, Malmö, Sweden
,
R Jover
13   Hospital General Universitario de Alicante, Instituto de Investigación Sanitaria ISABIAL, Servicio de Medicina Digestiva, Alicante, Spain
,
P Bhandari
14   Queen Alexandra Hospital Portsmouth, Department of Gastroenterology, Portsmouth, UK
,
A Koulaouzidis
15   The Royal Infirmary of Edinburgh, Centre for Liver and Digestive Disorders, Edinburgh, UK
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

 

Aims ESGE published performance measures as benchmark for quality assessment in small-bowel capsule endoscopy (SBCE). The aim of this survey was to investigate the influence of ESGE guidelines in current SBCE practice.

Methods ESGE published performance measures as benchmark for quality assessment in small-bowel capsule endoscopy (SBCE). The aim of this survey was to investigate the influence of ESGE guidelines in current SBCE practice.

Results Excluding duplicates; 217 responses (73.7% from ESGE and 26.3% from non-ESGE countries) were analyzed. The majority (75.6%) of participants follow ESGE guidelines in their practice; 91% of the performed studies adhere to the ESGE recommended indications. Most (76.3%) respondents provide patients with verbal & written information mainly about indications (84%), contra-indications (70.8%), risk of retention (93.6%) and the need for bowel preparation (78%), before SBCE. In line with ESGE guidelines, participants recommend clear liquids diet (62.3%), administration of purgative agents (85.4%) and use of simethicone (73.2%), while 56% of them never give prokinetics before SBCE. Studies are read either on single (47.5%) or on dual view (44.2%), while 25% of the responders never inspect the mucosa in real time. More than 80% of respondents don’t measure the quality of bowel preparation, two thirds of them read and interpret the studies themselves and half of them use a patency capsule in selected cases. Use of emergency SBCE in cases with overt GI bleeding is recommended by 65.5% of the responders. SBCE is considered second-line exam for Crohn’s disease evaluation, limited to evaluation of disease extent in newly diagnosed patients (62.2%) and to mucosal healing assessment in established Crohn’s disease (54.3%).

Conclusions To a certain degree, endoscopists from ESGE and non-ESGE countries follow the Society’s guidelines on the use of SBCE in clinical practice. However, concordance gaps have been identified by the survey.