Clin Endosc.  2015 Sep;48(5):399-404. 10.5946/ce.2015.48.5.399.

Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry

Affiliations
  • 1Department of Internal Medicine, Dongguk University College of Medicine, Goyang, Korea.
  • 2Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. leeoy@hanyang.ac.kr
  • 3Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
  • 4Department of Medicine, Dongguk University College of Medicine, Gyeongju, Korea.
  • 5Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 6Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 7Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea.
  • 8Department of Internal Medicine, Jeju National University College of Medicine, Jeju, Korea.
  • 9Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
  • 10Department of Internal Medicine, Ajou University School of Medicine, Suwon, Korea.
  • 11Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • 12Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 13Department of Internal Medicine, Hallym University College of Medicine, Seoul, Korea.
  • 14Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.
  • 15Department of Internal Medicine, Inje University College of Medicine, Seoul, Korea.
  • 16Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.

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.

Keyword

Capsule endoscopy; Completion; Intestine, small; Preparation; Retention

MeSH Terms

Aged
Capsule Endoscopy*
Child
Crohn Disease
Diagnosis
Hemorrhage
Humans
Intestine, Small

Figure

  • Fig. 1 Quality of bowel preparation for capsule endoscopy. (A) Excellent, visualization of ≥90% of the mucosa, no or minimal fluid, debris, and bubbles. (B) Good, visualization of ≥90% of the mucosa, mild fluid, debris, and bubbles. (C) Fair, visualization of <90% of the mucosa, moderate fluid, debris, and bubbles. (D) Poor, visualization of <80% of the mucosa, excessive fluid, debris, and bubbles.


Cited by  5 articles

A New Active Locomotion Capsule Endoscopy under Magnetic Control and Automated Reading Program
Dong Jun Oh, Kwang Seop Kim, Yun Jeong Lim
Clin Endosc. 2020;53(4):395-401.    doi: 10.5946/ce.2020.127.

Quality Indicators for Small Bowel Capsule Endoscopy
Ki-Nam Shim, Seong Ran Jeon, Hyun Joo Jang, Jinsu Kim, Yun Jeong Lim, Kyeong Ok Kim, Hyun Joo Song, Hyun Seok Lee, Jae Jun Park, Ji Hyun Kim, Jaeyoung Chun, Soo Jung Park, Dong-Hoon Yang, Yang Won Min, Bora Keum, Bo-In Lee
Clin Endosc. 2017;50(2):148-160.    doi: 10.5946/ce.2017.030.

Optimal Diagnostic Approaches for Patients with Suspected Small Bowel Disease
Jae Hyun Kim, Won Moon
Clin Endosc. 2016;49(4):364-369.    doi: 10.5946/ce.2016.074.

The Usefulness of Capsule Endoscopy for Small Bowel Tumors
Dae Young Cheung, Jin Su Kim, Ki-Nam Shim, Myung-Gyu Choi
Clin Endosc. 2016;49(1):21-25.    doi: 10.5946/ce.2016.49.1.21.

Capsule endoscopy in inflammatory bowel disease: when and how
Ida Hilmi, Taku Kobayashi
Intest Res. 2020;18(3):265-274.    doi: 10.5217/ir.2019.09165.


Reference

1. Gut Image Study Group. Lim YJ, Moon JS, et al. Korean Society of Gastrointestinal Endoscopy (KSGE) guidelines for credentialing and granting previleges for capsule endoscopy. Korean J Gastrointest Endosc. 2008; 37:393–402.
2. Shim KN, Moon JS, Chang DK, et al. Guideline for capsule endoscopy: obscure gastrointestinal bleeding. Clin Endosc. 2013; 46:45–53. PMID: 23423225.
Article
3. Ell C, Remke S, May A, Helou L, Henrich R, Mayer G. The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding. Endoscopy. 2002; 34:685–689. PMID: 12195324.
Article
4. Höög CM, Bark LÅ, Arkani J, Gorsetman J, Broström O, Sjöqvist U. Capsule retentions and incomplete capsule endoscopy examinations: an analysis of 2300 examinations. Gastroenterol Res Pract. 2012; 2012:518718. PMID: 21969823.
Article
5. van Tuyl SA, den Ouden H, Stolk MF, Kuipers EJ. Optimal preparation for video capsule endoscopy: a prospective, randomized, single-blind study. Endoscopy. 2007; 39:1037–1040. PMID: 18072052.
Article
6. Dai N, Gubler C, Hengstler P, Meyenberger C, Bauerfeind P. Improved capsule endoscopy after bowel preparation. Gastrointest Endosc. 2005; 61:28–31. PMID: 15672052.
Article
7. Rokkas T, Papaxoinis K, Triantafyllou K, Pistiolas D, Ladas SD. Does purgative preparation influence the diagnostic yield of small bowel video capsule endoscopy? A meta-analysis. Am J Gastroenterol. 2009; 104:219–227. PMID: 19098872.
Article
8. Delvaux M, Ben Soussan E, Laurent V, Lerebours E, Gay G. Clinical evaluation of the use of the M2A patency capsule system before a capsule endoscopy procedure, in patients with known or suspected intestinal stenosis. Endoscopy. 2005; 37:801–807. PMID: 16116529.
Article
9. Lapalus MG, Ben Soussan E, Saurin JC, et al. Capsule endoscopy and bowel preparation with oral sodium phosphate: a prospective randomized controlled trial. Gastrointest Endosc. 2008; 67:1091–1096. PMID: 18513551.
Article
10. Brotz C, Nandi N, Conn M, et al. A validation study of 3 grading systems to evaluate small-bowel cleansing for wireless capsule endoscopy: a quantitative index, a qualitative evaluation, and an overall adequacy assessment. Gastrointest Endosc. 2009; 69:262–270.e1. PMID: 18851851.
Article
11. Kalantzis C, Triantafyllou K, Papadopoulos AA, et al. Effect of three bowel preparations on video-capsule endoscopy gastric and small-bowel transit time and completeness of the examination. Scand J Gastroenterol. 2007; 42:1120–1126. PMID: 17710680.
Article
12. Liao Z, Gao R, Xu C, Li ZS. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review. Gastrointest Endosc. 2010; 71:280–286. PMID: 20152309.
Article
13. Eliakim R. Capsule endoscopy: where are we at 2011 and where are we headed. Intest Res. 2012; 10:235–243.
14. Westerhof J, Weersma RK, Koornstra JJ. Risk factors for incomplete small-bowel capsule endoscopy. Gastrointest Endosc. 2009; 69:74–80. PMID: 18691709.
Article
15. Lim YJ, Yang CH. Non-steroidal anti-inflammatory drug-induced enteropathy. Clin Endosc. 2012; 45:138–144. PMID: 22866254.
Article
16. Li F, Gurudu SR, De Petris G, et al. Retention of the capsule endoscope: a single-center experience of 1000 capsule endoscopy procedures. Gastrointest Endosc. 2008; 68:174–180. PMID: 18513723.
Article
17. Rondonotti E, Pennazio M, Toth E, et al. Small-bowel neoplasms in patients undergoing video capsule endoscopy: a multicenter European study. Endoscopy. 2008; 40:488–495. PMID: 18464193.
Article
18. Koulaouzidis A, Rondonotti E, Karargyris A. Small-bowel capsule endoscopy: a ten-point contemporary review. World J Gastroenterol. 2013; 19:3726–3746. PMID: 23840112.
Article
19. Rondonotti E, Herrerias JM, Pennazio M, Caunedo A, Mascarenhas-Saraiva M, de Franchis R. Complications, limitations, and failures of capsule endoscopy: a review of 733 cases. Gastrointest Endosc. 2005; 62:712–716. PMID: 16246685.
Article
Full Text Links
  • CE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr