Clinical and demographic features of patients undergoing videocapsule endoscopy management:A descriptive study  

作　　者：María C Mejía Luis G Piñeros Luis M Pombo Laura A León Jenny A Velásquez Aníbal A Teherán Karen P Ayala 

机构地区：[1]Research Center,Fundación Universitaria Juan N.Corpas,Bogotá111321,Colombia [2]Fundación Universitaria Juan N.Corpas,Bogotá111321,Colombia [3]Department of Gastroenterology,Universidad Militar Nueva Granada,Bogotá111711,Colombia [4]Department of Gastroenterology,Hospital Universitario Clínica San Rafael,Bogotá111711,Colombia

出　　处：《World Journal of Gastrointestinal Endoscopy》2024年第7期424-431,共8页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：BACKGROUND Video-capsule endoscopy(VCE)is an efficient tool that has proven to be highly useful in approaching several gastrointestinal diseases.VCE was implemented in Colombia in 2003,however current characterization of patients undergoing VCE in Colombia is limited,and mainly comes from two investigations conducted before the SARS-CoV-2 pandemic period.AIM To describe the characteristics of patients undergoing VCEs and establish the main indications,findings,technical limitations,and other outstanding features.METHODS A descriptive study was carried out using data from reports of VCE(PillCam SB3 system)use in a Gastroenterology Unit in Bogotá,Colombia between September 2019 and January 2023.Demographic and clinical variables such as indication for the VCE,gastric and small bowel transit times(GTT,SBTT),endoscopic preparation quality,and limitations were described[n(%),median(IQR)].RESULTS A total of 133 VCE reports were analyzed.Most were in men with a median age of 70 years.The majority had good preparation(96.2%),and there were technical limitations in 15.8%of cases.The main indications were unexplained anemia(91%)or occult bleeding(23.3%).The median GTT and SBTT were 14 and 30 minutes,respectively.The frequencies of bleeding stigma(3.79%)and active bleeding(9.09%)were low,and the most frequent abnormal findings were red spots(28.3%),erosions(17.6%),and vascular ectasias(12.5%).CONCLUSION VCE showed high-level safety.The main indication was unexplained anemia.Active bleeding was the most frequent finding.Combined with artificial intelligence,VCE can improve diagnostic precision and targeted therapeutic interventions.

关 键 词：ENDOSCOPY Video-capsule endoscopy Capsule endoscopy Gastrointestinal diseases Observational study Gastrointestinal bleeding 

分 类 号：R195.1[医药卫生—卫生统计学] R57[医药卫生—卫生事业管理]