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Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry
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Yun Jeong Lim, Oh Young Lee, Yoon Tae Jeen, Chi Yeon Lim, Dae Young Cheung, Jae Hee Cheon, Byong Duk Ye, Hyun Joo Song, Jin Su Kim, Jae Hyuk Do, Kwang Jae Lee, Ki-Nam Shim, Dong Kyung Chang, Cheol Hee Park, Byung Ik Jang, Jeong Seop Moon, Hoon Jai Chun, Myung-Gyu Choi, Jin Oh Kim, Korean Gut Image Study Group
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Clin Endosc 2015;48(5):399-404. Published online September 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.5.399
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Abstract
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- 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. MethodsTwenty-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. ResultsA 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. ConclusionsCE 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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Perfecting Video Capsule Endoscopy: Is There Need for Training?
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Jae Hee Cheon, Ki Baik Hahm
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Clin Endosc 2013;46(6):599-600. Published online November 19, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.6.599
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- Influencia de la experiencia acumulada del explorador en el valor predictivo negativo de la cápsula endoscópica
Benito Velayos Jiménez, Noelia Alcaide Suárez, Guillermo González Redondo, Luis Fernández Salazar, Rocío Aller de la Fuente, Lourdes del Olmo Martínez, Lourdes Ruiz Rebollo, José Manuel González Hernández Gastroenterología y Hepatología.2017; 40(1): 10. CrossRef - Impact of the endoscopist's experience on the negative predictive value of capsule endoscopy
Benito Velayos Jiménez, Noelia Alcaide Suárez, Guillermo González Redondo, Luis Fernández Salazar, Rocío Aller de la Fuente, Lourdes del Olmo Martínez, Lourdes Ruiz Rebollo, José Manuel González Hernández Gastroenterología y Hepatología (English Edition).2017; 40(1): 10. CrossRef
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Learning Curve of Capsule Endoscopy
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Korean Gut Image Study Group, Yun Jeong Lim, Young Sung Joo, Dae Young Jung, Byong Duk Ye, Ji Hyun Kim, Jae Hee Cheon, Seong Eun Kim, Jae Hyuk Do, Byung Ik Jang, Jeong Seop Moon, Jin Oh Kim, Hoon Jae Chun, Myung-Gyu Choi
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Clin Endosc 2013;46(6):633-636. Published online November 19, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.6.633
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Abstract
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- Background/Aims
Capsule endoscopy (CE) has become an important tool for the diagnosis of small bowel disease. Although CE does not require the skill of endoscope insertion, the images should be interpreted by a person with experience in assessing images of the gastrointestinal mucosa. This investigation aimed to document the number of cases needed by trainees to gain the necessary experience for CE competency. MethodsFifteen cases were distributed to 12 trainees with no previous experience of CE during their gastroenterology training as clinical fellows. Twelve trainees and an expert were asked to read CE images from one patient each week for 15 weeks. The diagnosis was reported using five categories (no abnormalities detected, small bowel erosion or ulcer, small bowel tumor, Crohn disease, and active small bowel bleeding with no identifiable source). We then examined, using the κ coefficient, how the degree of mean agreements between the trainees and the expert changed as the training progressed each week. ResultsThe agreement rate of CE diagnosis increased as the frequencies of interpretation increased. Most of the mean κ coefficients were >0.60 and >0.80 after week 9 and 11, respectively. ConclusionsExperience with approximately 10 cases of CE is appropriate for trainees to attain CE competency.
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Soung Min Jeon, Jae Hee Cheon
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Clin Endosc 2012;45(1):2-3. Published online March 31, 2012
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