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Nomenclature and Definition of Atrophic Lesions in Small Bowel Capsule Endoscopy : A Delphi Consensus Statement of the International CApsule endoscopy REsearch (I-CARE) Group

Elli, Luca (author)
Maggiore Hospital Policlinico,University of Milan
Marinoni, Beatrice (author)
University of Milan,Maggiore Hospital Policlinico
Sidhu, Reena (author)
University of Sheffield
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Bojarski, Christian (author)
Charité - University Medicine Berlin
Branchi, Federica (author)
Charité - University Medicine Berlin
Tontini, Gian Eugenio (author)
University of Milan,Maggiore Hospital Policlinico
Chetcuti Zammit, Stefania (author)
Mater Dei Hospital
Khater, Sherine (author)
Hôpital Européen Georges-Pompidou
Eliakim, Rami (author)
Tel-Aviv University
Rondonotti, Emanuele (author)
Valduce Hospital
Saurin, Jean Cristhophe (author)
Lyon Civil Hospital / Hospices Civils de Lyon
Bruno, Mauro (author)
Citta' della Salute e della Scienza Hospital-University of Turin
Buchkremer, Juliane (author)
Charité - University Medicine Berlin
Cadoni, Sergio (author)
ATS Sardegna , ASSL Carbonia Presidio Ospedaliero C.T.O, Iglesias
Cavallaro, Flaminia (author)
Maggiore Hospital Policlinico
Dray, Xavier (author)
Hospital Saint-Antoine
Ellul, Pierre (author)
Mater Dei Hospital
Urien, Ignacio Fernandez (author)
Hospital of Navarra, Pamplona
Keuchel, Martin (author)
University of Hamburg
Kopylov, Uri (author)
Tel-Aviv University
Koulaouzidis, Anastasios (author)
Odense University Hospital,University of Southern Denmark
Leenhardt, Romain (author)
Hospital Saint-Antoine
Baltes, Peter (author)
University of Hamburg
Beaumont, Hanneke (author)
Academic Medical Center of University of Amsterdam (AMC)
Marmo, Clelia (author)
Policlinico Universitario Agostino Gemelli
McNamara, Deirdre (author)
Tallaght University Hospital
Mussetto, Alessandro (author)
Santa Maria delle Croci Hospital
Nemeth, Artur (author)
Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Skåne University Hospital
Cuadrado Robles, Enrique Perez (author)
Hôpital Européen Georges-Pompidou,Hospital General Universitario Morales Meseguer
Perrod, Guillame (author)
Hôpital Européen Georges-Pompidou
Rahmi, Gabriel (author)
Hôpital Européen Georges-Pompidou
Riccioni, Maria Elena (author)
Policlinico Universitario Agostino Gemelli
Robertson, Alexander (author)
Western General Hospital
Spada, Cristiano (author)
Fondazione Poliambulanza Istituto Ospedaliero, Brescia,Policlinico Universitario Agostino Gemelli
Toth, Ervin (author)
Lund University,Lunds universitet,Gastroenterologi,Forskargrupper vid Lunds universitet,Gastroenterology,Lund University Research Groups,Skåne University Hospital
Triantafyllou, Konstantinos (author)
Attikon University Hospital
Wurm Johansson, Gabriele (author)
Lund University,Lunds universitet,Gastroenterologi,Forskargrupper vid Lunds universitet,Gastroenterology,Lund University Research Groups,Skåne University Hospital
Rimondi, Alessandro (author)
University of Milan,Maggiore Hospital Policlinico
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 (creator_code:org_t)
2022-07-13
2022
English.
In: Diagnostics. - : MDPI AG. - 2075-4418. ; 12:7
Related links:
http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
https://doi.org/10.3...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • (1) Background: Villous atrophy is an indication for small bowel capsule endoscopy (SBCE). However, SBCE findings are not described uniformly and atrophic features are sometimes not recognized; (2) Methods: The Delphi technique was employed to reach agreement among a panel of SBCE experts. The nomenclature and definitions of SBCE lesions suggesting the presence of atrophy were decided in a core group of 10 experts. Four images of each lesion were chosen from a large SBCE database and agreement on the correspondence between the picture and the definition was evaluated using the Delphi method in a broadened group of 36 experts. All images corresponded to histologically proven mucosal atrophy; (3) Results: Four types of atrophic lesions were identified: mosaicism, scalloping, folds reduction, and granular mucosa. The core group succeeded in reaching agreement on the nomenclature and the descriptions of these items. Consensus in matching the agreed definitions for the proposed set of images was met for mosaicism (88.9% in the first round), scalloping (97.2% in the first round), and folds reduction (94.4% in the first round), but granular mucosa failed to achieve consensus (75.0% in the third round); (4) Conclusions: Consensus among SBCE experts on atrophic lesions was met for the first time. Mosaicism, scalloping, and folds reduction are the most reliable signs, while the description of granular mucosa remains uncertain.

Subject headings

NATURVETENSKAP  -- Data- och informationsvetenskap -- Datorseende och robotik (hsv//swe)
NATURAL SCIENCES  -- Computer and Information Sciences -- Computer Vision and Robotics (hsv//eng)
TEKNIK OCH TEKNOLOGIER  -- Medicinteknik -- Medicinsk bildbehandling (hsv//swe)
ENGINEERING AND TECHNOLOGY  -- Medical Engineering -- Medical Image Processing (hsv//eng)

Keyword

consensus
small bowel atrophy
video-capsule enteroscopy

Publication and Content Type

art (subject category)
ref (subject category)

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