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Implementation of E...
Implementation of European Society of Gastrointestinal Endoscopy (ESGE) recommendations for small-bowel capsule endoscopy into clinical practice : Results of an official ESGE survey
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- Lazaridis, Lazaros Dimitrios (författare)
- National and Kapodistrian University of Athens
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- Tziatzios, Georgios (författare)
- National and Kapodistrian University of Athens
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- Toth, Ervin (författare)
- Lund University,Lunds universitet,Gastroenterologi,Forskargrupper vid Lunds universitet,Gastroenterology,Lund University Research Groups,Skåne University Hospital
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- Beaumont, Hanneke (författare)
- Academic Medical Center of University of Amsterdam (AMC)
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- Dray, Xavier (författare)
- Paris-Sorbonne University
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Eliakim, Rami (författare)
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Ellul, Pierre (författare)
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Fernandez-Urien, Ignacio (författare)
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Keuchel, Martin (författare)
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- Panter, Simon (författare)
- South Tyneside Hospital
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- Rondonotti, Emanuele (författare)
- Valduce Hospital
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- Rosa, Bruno (författare)
- Hospital da Senhora da Oliveira
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Spada, Cristiano (författare)
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- Jover, Rodrigo (författare)
- Alicante University General Hospital
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- Bhandari, Pradeep (författare)
- Queen Alexandra Hospital
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- Triantafyllou, Konstantinos (författare)
- National and Kapodistrian University of Athens
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- Koulaouzidis, Anastasios (författare)
- Pomeranian Medical University
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(creator_code:org_t)
- 2021-07-28
- 2021
- Engelska.
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Ingår i: Endoscopy. - : Georg Thieme Verlag KG. - 0013-726X .- 1438-8812. ; 53:9, s. 970-980
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http://dx.doi.org/10... (free)
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http://www.thieme-co...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
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- Background We aimed to document international practices in small-bowel capsule endoscopy (SBCE), measuring adherence to European Society of Gastrointestinal Endoscopy (ESGE) technical and clinical recommendations. Methods Participants reached through the ESGE contact list completed a 52-item web-based survey. Results 217 responded from 47 countries (176 and 41, respectively, from countries with or without a national society affiliated to ESGE). Of respondents, 45 % had undergone formal SBCE training. Among SBCE procedures, 91 % were performed with an ESGE recommended indication, obscure gastrointestinal bleeding (OGIB), iron-deficiency anemia (IDA), and suspected/established Crohn’s disease being the commonest and with higher rates of positive findings (49.4 %, 38.2 % and 53.5 %, respectively). A watchful waiting strategy after a negative SBCE for OGIB or IDA was preferred by 46.7 % and 70.3 %, respectively. SBCE was a second-line exam for evaluation of extent of new Crohn’s disease for 62.2 % of respondents. Endoscopists adhered to varying extents to ESGE technical recommendations regarding bowel preparation ( > 60 %), use in those with pacemaker holders (62.5 %), patency capsule use (51.2 %), and use of a validated scale for bowel preparation assessment (13.3 %). Of the respondents, 67 % read and interpreted the exams themselves and 84 % classified exams findings as relevant or irrelevant. Two thirds anticipated future increase in SBCE demand. Inability to obtain tissue (78.3 %) and high cost (68.1 %) were regarded as the main limitations, and implementation of artificial intelligence as the top development priority (56.2 %). Conclusions To some extent, endoscopists follow ESGE guidelines on using SBCE in clinical practice. However, variations in practice have been identified, whose implications require further evaluation.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
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Lazaridis, Lazar ...
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Tziatzios, Georg ...
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Toth, Ervin
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Beaumont, Hannek ...
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Dray, Xavier
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Eliakim, Rami
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Ellul, Pierre
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Fernandez-Urien, ...
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Keuchel, Martin
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Panter, Simon
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Rondonotti, Eman ...
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Rosa, Bruno
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Spada, Cristiano
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Jover, Rodrigo
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Bhandari, Pradee ...
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Triantafyllou, K ...
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Koulaouzidis, An ...
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