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 2015년 48권 5호 p.399 ~ p.404

임윤정(Lim Yun-Jeong) - Dongguk University College of Medicine Department of Internal Medicine
이오영(Lee Oh-Young) - Hanyang University College of Medicine Department of Internal Medicine
진윤태(Jeen Yoon-Tae) - Korea University College of Medicine Department of Internal Medicine
임지연(Lim Chi-Yeon) - Dongguk University College of Medicine Department of Medicine
정대영(Cheung Dae-Young) - Catholic University College of Medicine Department of Internal Medicine
천재희(Cheon Jae-Hee) - Yonsei University College of Medicine Department of Internal Medicine
예병덕(Ye Byong-Duk) - University of Ulsan College of Medicine Department of Internal Medicine
송현주(Song Hyun-Joo) - Jeju National University College of Medicine Department of Internal Medicine
김진수(Kim Jin-Su) - Catholic University College of Medicine Department of Internal Medicine
도재혁(Do Jae-Hyuk) - Chung-Ang University College of Medicine Department of Internal Medicine
이광재(Lee Kwang-Jae) - Ajou University College of Medicine Department of Internal Medicine
심기남(Shim Ki-Nam) - Ewha Womans University School of Medicine Department of Internal Medicine
장동경(Chang Dong-Kyung) - Sungkyunkwan University School of Medicine Department of Internal Medicine
박철희(Park Cheol-Hee) - Hallym University College of Medicine Department of Internal Medicine
장병익(Jang Byung-Ik) - Yeungnam University College of Medicine Department of Internal Medicine
문정섭(Moon Jeong-Seop) - Inje University College of Medicine Department of Internal Medicine
전훈재(Chun Hoon-Jai) - Korea University College of Medicine Department of Internal Medicine
최명규(Choi Myung-Gyu) - Catholic University College of Medicine Department of Internal Medicine
김진오(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.

키워드

Capsule endoscopy, Completion, Intestine, small, Preparation, Retention
원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
Significant lesions were detected in 66% of cases. Positive CE diagnosis occurred in 63% of cases
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드