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Vol. 44. Issue 5.
Pages 346-354 (May 2021)
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Vol. 44. Issue 5.
Pages 346-354 (May 2021)
Original article
DOI: 10.1016/j.gastre.2020.09.004
Clinical utility of the small bowel capsule endoscopy in the study of small bowel diseases in Colombia: Results of a national registry
Utilidad clínica de la videocápsula endoscópica en el estudio de patologías de intestino delgado en Colombia: resultados de un registro nacional
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Fabián Juliao-Bañosa,
Corresponding author
fabianjuliao@hotmail.com

Corresponding author.
, María T. Galianob, Joselyn Camargoc, Gabriel Mosquera-Klingera, Jhon Carvajala, Claudia Jaramillod, Luis Sabbaghd, Héctor Curee, Fernando Garcíaf, Benedicto Velascog, Camilo Manriqueg, Viviana Parrah, Cristian Flórezh, José Bareñoi
a Hospital Pablo Tobón Uribe, Medellín, Colombia
b MTG Servimed SAS, Bogotá, Colombia
c Fellow de Gastroenterología, Universidad CES, Medellín, Colombia
d Clínica Reina Sofía, Fundación Universitaria Sanitas, Bogotá, Colombia
e Clínica General del Norte, Barranquilla, Colombia
f Universidad de Cartagena, Cartagena, Colombia
g Gastromedicall, Bogotá, Colombia
h Gastroadvanced, Bogotá, Colombia
i Universidad CES, Medellín, Colombia
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Table 1. Types of lesions found in VCE.
Abstract
Introduction

The small bowel capsule endoscopy (SBCE) has revolutionised the study of small bowel (SB) diseases. The objective of this study is to determine the indications, findings and diagnostic yield of SBCE in a national registry.

Patients and methods

An observational, analytical cross-sectional study was carried out, analysing the SBCE records at seven centres in the country, where different variables were collected.

Results

1,883 SBCEs were evaluated. The average age was 55.4 years (5.6–94.2). The most frequent indications were suspicion of small bowel bleeding (SBB) (64.4%), study of Crohn’s disease (15.2%) and chronic diarrhoea (11.2%). 54.3% were prepared with laxatives. The most frequent lesions found were erosions/ulcers (31.6%), angioectasias (25.7%) and parasitosis (2.7%). The diagnostic yield (P1+P2, Saurin classification) of SBCE in SBB was 60.6%, being higher in overt SBB (66.0%) compared to occult SBB (56.0%) (P=0.003). The studies with better preparation showed higher detection of lesions (93.8% vs. 89.4%) (OR=1.8, CI: 95%: 1.2–2.6; P=0.004). The SBCE complication rate was 3.1%, with complete SB visualisation at 96.6% and SB retention rate of 0.7%. 81.5% of SBCEs were performed on an outpatient basis, and presented a greater complete SB visualisation than hospital ones (97.1% vs. 94.3%) (OR=2.1, CI: 95%, 1.2–3.5; P=0.008).

Conclusions

The indications, findings and diagnostic performance of SBCEs in Colombia are similar to those reported in the literature, with a high percentage of complete studies and a low rate of complications.

Keywords:
Small bowel capsule endoscopy
Small bowel bleeding
Crohn’s disease
Diagnostic yield
Parasites
Resumen
Introducción

La video cápsula endoscópica (VCE) ha revolucionado el estudio de las patologías de intestino delgado (ID). El objetivo de este estudio es determinar las indicaciones, hallazgos y rendimiento diagnóstico de la VCE en un registro nacional.

Pacientes y métodos

Se realizó un estudio observacional, de corte transversal analítico, analizando los registros de VCE en siete centros del país, se recolectaron diferentes variables.

Resultados

Se evaluaron 1.883 estudios de VCE. La edad promedio fue 55.4 años (5.6–94.2). Las indicaciones más frecuentes fueron sospecha de sangrado de intestino delgado (SID) (64.4%), estudio enfermedad de Crohn (15.2%) y diarrea crónica (11.2%). 54.3% de VCE se prepararon con laxantes. Las lesiones más frecuentes fueron erosiones/úlceras (31.6%), angiectasias (25.7%) y parasitosis (2.7%). El rendimiento diagnóstico (P1+P2, clasificación de Saurin) de VCE en SID fue 60.6%, siendo mayor en SID evidente (66.0%) comparado con SID oculto (56.0%) (P=0.003). Los estudios con mejor preparación presentaban mayor detección de lesiones (93.8% vs 89.4%) (OR=1.8, IC: 95%: 1.2–2.6; P=0.004). La tasa de complicación de VCE fue 3.1%, con visualización completa del ID en 96.6% y tasa de retención en ID de 0.7%. 81.5% de VCE se realizaron en forma ambulatoria, y presentaron mayor visualización completa de ID que las hospitalarias (97.1% vs 94.3%) (OR=2.1, IC: 95%, 1.2–3.5; P=0.008).

Conclusiones

Las indicaciones, hallazgos y rendimiento diagnóstico de VCE en Colombia son similares a los reportados en la literatura universal, con alto porcentaje de estudios completos y baja tasa de complicaciones.

Palabras clave:
Videocápsula endoscópica de intestino delgado
Sangrado de intestino delgado
Enfermedad de Crohn
Rendimiento diagnóstico
Parásitos

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