Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry
Clinical Endoscopy 2015³â 48±Ç 5È£ p.399 ~ p.404
ÀÓÀ±Á¤(Lim Yun-Jeong) - Dongguk University College of Medicine Department of Internal Medicine
ÀÌ¿À¿µ(Lee Oh-Young) - Hanyang University College of Medicine Department of Internal Medicine
ÁøÀ±ÅÂ(Jeen Yoon-Tae) - Korea University College of Medicine Department of Internal Medicine
ÀÓÁö¿¬(Lim Chi-Yeon) - Dongguk University College of Medicine Department of Medicine
Á¤´ë¿µ(Cheung Dae-Young) - Catholic University College of Medicine Department of Internal Medicine
õÀçÈñ(Cheon Jae-Hee) - Yonsei University College of Medicine Department of Internal Medicine
¿¹º´´ö(Ye Byong-Duk) - University of Ulsan College of Medicine Department of Internal Medicine
¼ÛÇöÁÖ(Song Hyun-Joo) - Jeju National University College of Medicine Department of Internal Medicine
±èÁø¼ö(Kim Jin-Su) - Catholic University College of Medicine Department of Internal Medicine
µµÀçÇõ(Do Jae-Hyuk) - Chung-Ang University College of Medicine Department of Internal Medicine
À̱¤Àç(Lee Kwang-Jae) - Ajou University College of Medicine Department of Internal Medicine
½É±â³²(Shim Ki-Nam) - Ewha Womans University School of Medicine Department of Internal Medicine
À嵿°æ(Chang Dong-Kyung) - Sungkyunkwan University School of Medicine Department of Internal Medicine
¹ÚöÈñ(Park Cheol-Hee) - Hallym University College of Medicine Department of Internal Medicine
À庴ÀÍ(Jang Byung-Ik) - Yeungnam University College of Medicine Department of Internal Medicine
¹®Á¤¼·(Moon Jeong-Seop) - Inje University College of Medicine Department of Internal Medicine
ÀüÈÆÀç(Chun Hoon-Jai) - Korea University College of Medicine Department of Internal Medicine
ÃÖ¸í±Ô(Choi Myung-Gyu) - Catholic University College of Medicine Department of Internal Medicine
±èÁø¿À(Kim Jin-Oh) - Soonchunhyang University College of Medicine Department of Internal Medicine
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.
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Capsule endoscopy, Completion, Intestine, small, Preparation, Retention
KMID :
1038120150480050399
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Significant lesions were detected in 66% of cases. Positive CE diagnosis occurred in 63% of cases