| Autor: |
Gomes, Catarina, O’Neill, Catarina, Pinho, Rolando, Barosa, Rita, Ponte, Ana, Magalhães-Costa, Pedro, Rodrigues, Adélia, Chagas, Cristina, Carvalho, João |
| Zdroj: |
GE - Portuguese Journal of Gastroenterology (Karger); March 2022, Vol. 30 Issue: 3 p230-238, 9p |
| Abstrakt: |
Introduction:The European Society of Gastrointestinal Endoscopy (ESGE) identified the need to benchmark the quality of small bowel capsule endoscopy (SBCE) and produced a set of performance measures (PM). The aim of this study is to critically evaluate the accordance of the PM for SBCE in two Portuguese centers with different SBCE platforms. Methods:The authors conducted a cross-sectional analysis of consecutive SBCE performed in an 18-month period in 2 Portuguese centers that used two different SBCE platforms Mirocam® (IntroMedic, Seoul, South Korea) and PillCam® (Medtronic, Yokneam, Israel). A total of 10 PM (6 key, 4 minor) were evaluated and compared between the 2 centers. Results:A total of 493 SBCE were included. The minimum standard established by ESGE was reached in 3/6 key PM (complete visualization, lesion detection rate, and capsule retention rate), and none of the 4 minor PM. PM compliance significantly differed between the 2 centers: complete small bowel visualization 95.9 and 90% (p= 0.01), diagnostic yield 50.6 and 63% (p= 0.005), adequate small bowel cleansing level according to Brotz scale 69.54 and 84.6% (p≤ 0.001), patients with high risk of capsule retention offered a patency capsule 4.2 and 73% (p≤ 0.001), respectively. Conclusion:This study highlights and critically discusses technical and organizational issues that should be considered in defining more realistic PM thresholds, aiming to improve SBCE quality. |
| Databáze: |
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