Video Capsule Endoscopy after Bariatric and Gastric Surgery: Oral Ingestion is Associated with Satisfactory Completion Rate and Rapid Gastric Passage

Stanich, Peter P.; Kleinman, Bryan; Porter, Kyle; Meyer, Marty M.

doi:10.14309/00000434-201310001-01601

Cited by 3 publications

(6 citation statements)

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“…Among 24 patients with previous bariatric and gastric surgeries, 13 of 16 (81.3%) who orally ingested the SBCE achieved total enteroscopy, as did five of eight (62.5%) who required endoscopic deployment. 14 Although gastric retention requires approximately 2 h of battery life, the lower completion rates may also be ascribed to weak GI motility conditions such as diabetes mellitus, postabdominal surgery or radiation therapy, scleroderma, Parkinson's disease, and hypothyroidism, as seen in this study. Therefore, we should have used prokinetic drugs earlier in addition to promoting walking in patients with these conditions before and after endoscopic delivery.…”

Section: Discussionmentioning

confidence: 73%

“…reported that eight of the 21 SBCEs retained in the stomach did not reach the cecum within the available recording time (total enteroscopy rate, 61.9%). Among 24 patients with previous bariatric and gastric surgeries, 13 of 16 (81.3%) who orally ingested the SBCE achieved total enteroscopy, as did five of eight (62.5%) who required endoscopic deployment 14 . Although gastric retention requires approximately 2 h of battery life, the lower completion rates may also be ascribed to weak GI motility conditions such as diabetes mellitus, postabdominal surgery or radiation therapy, scleroderma, Parkinson's disease, and hypothyroidism, as seen in this study.…”

Section: Discussionmentioning

confidence: 99%

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Safety and efficacy of the endoscopic delivery of capsule endoscopes in adult and pediatric patients: Multicenter Japanese study (AdvanCE‐J study)

Ohmiya

Oka

Nakayama

et al. 2021

Digestive Endoscopy

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Background and Aim: We retrospectively determined the safety and efficacy of the endoscopic delivery (ED) of capsule endoscopes.Methods: We enrolled 10,156 patients who underwent small bowel capsule endoscopy (SBCE), 3182 who underwent patency capsule (PC), and 1367 who underwent colon capsule endoscopy (CCE), at 11 gastroenterological and nine pediatric centers.Results: Small bowel capsule endoscopies, PCs, and CCEs were endoscopically delivered to 546 (5.4%), 214 (6.7%), and 14 (1.0%) patients, respectively. Only mild complications occurred for 21.6% (167/774), including uneventful mucosal damage, bleeding, and abdominal pain. Successful ED of SBCE to the duodenum or jejunum occurred in 91.8% and 90.7% of patients aged <16 years and ≥16 years,respectively(P = 0.6661),butthetotalenteroscopyrate was higher in the first group (91.7%) than in the second (76.2%, P < 0.0001), for whom impossible ingestion (87.3%) was significantlymorecommonthanprolongedlodginginthestomach(64.2%, P = 0.0010). Successful PC and CCE delivery to the duodenum occurred in 84.1% and 28.6%, thereafter the patency confirmation rate and total colonoscopy rate was 100% and 61.5%, respectively. The height, weight, and age cutoff points in predicting spontaneous ingestion were 132 cm, 24.8 kg, and 9 years 2 months, respectively, in patients aged <16 years. Patients aged ≥16 years could not swallow the SBCEs mainly due to dysphagia (75.0%); those who retained it in the esophagus due to cardiac disease (28.6%), etc. and in the stomach due to diabetes mellitus (15.7%), etc.Conclusions: This large-scale study supports the safety and efficacy of ED in adult and pediatric patients. UMIN000042020.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of the endoscopic delivery of capsule endoscopes in adult and pediatric patients: Multicenter Japanese study (AdvanCE‐J study)

Ohmiya

Oka

Nakayama

et al. 2021

Digestive Endoscopy

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“…Our findings are in line with previous reports of high completion rates after bariatric surgery. In a case series, by Stanich et al [7], a total of 23 cases were analyzed, with only 1 case of incomplete examination and no event of capsule retention. Of note, in their study, a patency capsule was performed in nearly 40% of the cohort.…”

Section: Discussionmentioning

confidence: 99%

“…The relatively small size of our cohort might increase the risk of type 2 error. Nevertheless, this limitation should be taken into account in the context of the paucity of current published data, with only few small-scaled studies in the bariatric population [7, 8]. Furthermore, as our center is the largest one in the largest HMO in Israel, one can assume that the data represent the situation in Israel.…”

Section: Discussionmentioning

confidence: 99%

“…Video capsule endoscopy (VCE) is a minimally invasive method of small-bowel visualization in patients with a wide range of gastrointestinal (GI) disorders and can be utilized in patients who underwent bariatric surgeries [5, 6]. To date, there are minimal data available regarding the performance of VCE after bariatric surgery, the accepted insertion methods, and reported retention rates [7, 8]. In addition, data on the yield of VCE in the diagnosis of CD after bariatric surgery are scant.…”

Section: Introductionmentioning

confidence: 99%

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Video Capsule Endoscopy after Bariatric Surgery: A Tertiary Referral Center Experience

Peleg¹,

Yanai²,

Gingold‐Belfer³

et al. 2022

Dig Dis

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Background and aim: Minimal data is available regarding the performance of video capsule endoscopy (VCE) in patients that underwent bariatric surgery. We aim to report indications, feasibility and safety of VCE performed after bariatric surgery, specifically focusing on diagnosis rates of Crohn’s disease (CD) in this population. Methods: A retrospective analysis of all VCE procedures performed between January 2015 to December 2019. All patients that underwent bariatric surgery prior to VCE were included. Indication for VCE, Ingestion methods, completion rates, retention rates, and endoscopic findings were recorded. Results: A total of 1255 patients underwent VCE examination during the study period, of which 31 (2.5%) underwent bariatric surgery prior to VCE. The most common bariatric surgery was laparoscopic sleeve gastrectomy (16 patients, 51.6%) and the most common indication for VCE was evaluation of iron deficiency anemia (14 patients, 45.1%). The majority of patient ingested the capsule independently, without endoscopic assistance (20, 64.5%). Although patency capsule was not used in our cohort, no events of capsule retention were documented. Mean transit time was 4.32 hours. Only 4 events of incomplete examination were recorded. Over a median follow up of 27.5 months (IQR 13.0-34.2) 10 patients (31.2%) had a final diagnosis of CD with a median Lewis score of 225 (IQR 135-900). Conclusion: VCE is a feasible and safe procedure after bariatric surgery. Oral ingestion does not carry risk of retention. It is an effective means of diagnosis of small bowel CD in this population.

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Quality Indicators for Capsule Endoscopy and Deep Enteroscopy

et al. 2022

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INTRODUCTION:Capsule endoscopy (CE) and deep enteroscopy (DE) can be useful for diagnosing and treating suspected small-bowel disease. Guidelines and detailed recommendations exist for the use of CE/DE, but comprehensive quality indicators are lacking. The goal of this task force was to develop quality indicators for appropriate use of CE/DE by using a modified RAND/UCLA Appropriateness Method.METHODS:An expert panel of 7 gastroenterologists with diverse practice experience was assembled to identify quality indicators. A literature review was conducted to develop a list of proposed quality indicators applicable to preprocedure, intraprocedure, and postprocedure periods. The panelists reviewed the literature; identified and modified proposed quality indicators; rated them on the basis of scientific evidence, validity, and necessity; and determined proposed performance targets. Agreement and consensus with the proposed indicators were verified using the RAND/UCLA Appropriateness Method.RESULTS:The voting procedure to prioritize metrics emphasized selecting measures to improve quality and overall patient care. Panelists rated indicators on the perceived appropriateness and necessity for clinical practice. After voting and discussion, 2 quality indicators ranked as inappropriate or uncertain were excluded. Each quality indicator was categorized by measure type, performance target, and summary of evidence. The task force identified 13 quality indicators for CE and DE.DISCUSSION:Comprehensive quality indicators have not existed for CE or DE. The task force identified quality indicators that can be incorporated into clinical practice. The panel also addressed existing knowledge gaps and posed research questions to better inform future research and quality guidelines for these procedures.

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Video Capsule Endoscopy after Bariatric and Gastric Surgery: Oral Ingestion is Associated with Satisfactory Completion Rate and Rapid Gastric Passage

Cited by 3 publications

References 0 publications

Safety and efficacy of the endoscopic delivery of capsule endoscopes in adult and pediatric patients: Multicenter Japanese study (AdvanCE‐J study)

Safety and efficacy of the endoscopic delivery of capsule endoscopes in adult and pediatric patients: Multicenter Japanese study (AdvanCE‐J study)

Video Capsule Endoscopy after Bariatric Surgery: A Tertiary Referral Center Experience

Quality Indicators for Capsule Endoscopy and Deep Enteroscopy

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