Latest possible timing for endoscopic-assisted intervention in capsule endoscopy.

IF 3.8 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Gastroenterology Report Pub Date : 2025-03-28 eCollection Date: 2025-01-01 DOI:10.1093/gastro/goaf011

Xinlong He, Yufeng Shen, Ye Feng, Zhifang Gao, Hanbing Xue, Huimin Chen

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引用次数: 0

Abstract

Background: Delayed upper gastrointestinal transit during small bowel capsule endoscopy (SBCE) can lead to incomplete or failed examinations but can be treated by endoscopic-assisted intervention (EAI). The aim of this study was to investigate the latest possible timing of EAI.

Methods: Patients who underwent SBCE and received EAI between July 2007 and December 2020 were retrospectively reviewed. A novel T-value was developed that accounted for the varied battery life of different generations of PillCam when determining the latest possible timing of EAI, where T is calculated as EAI time/[minimum battery life of the PillCam minus small bowel transit time (6 h)] × 100%. Patients were divided into two groups based on the cut-off value of the receiver operating characteristic curve: early EAI (group A, T < 76.3%) and late EAI (group B, T ≥ 76.3%). The primary outcome was the completion rate (CR), and the secondary outcome was the detection rate. The latest possible timing of EAI (h) was calculated according to the T-value formula and further verified in our recent data set.

Results: This study included 108 patients. The CR was significantly higher in group A than in group B (79.2% vs 58.2%; P = 0.018). Late EAI was an independent predictor of incomplete SBCE (odds ratio = 2.900; 95% confidence interval, 1.193-7.053). The latest possible timing of EAI was 1.5 h and 4.6 h from the start of the examination for PillCam SB1 and PillCam SB2/3, respectively.

Conclusions: Early EAI was associated with higher CR. The latest possible timing of EAI was 1.5 h for PillCam SB1 and 4.6 h for PillCam SB2/3 from the start of the examination.

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胶囊内窥镜辅助干预的最新可能时机。

背景：小肠胶囊内窥镜检查（SBCE）时上消化道运输延迟可能导致检查不完整或失败，但可以通过内窥镜辅助干预（EAI）治疗。本研究的目的是探讨EAI的最晚可能时间。方法：回顾性分析2007年7月至2020年12月期间接受SBCE和EAI治疗的患者。在确定EAI的最新可能时间时，我们开发了一个新的T值，考虑了不同代PillCam的不同电池寿命，其中T计算为EAI时间/[PillCam的最小电池寿命减去小肠运输时间（6小时）]× 100%。根据受试者工作特征曲线的截断值将患者分为两组：早期EAI组（A组、T组）。A组CR显著高于B组(79.2% vs 58.2%；p = 0.018)。晚期EAI是不完全性SBCE的独立预测因子(优势比= 2.900；95%置信区间为1.193-7.053)。最晚可能的EAI时间分别为PillCam SB1和PillCam SB2/3检测开始后的1.5 h和4.6 h。结论：早期EAI与较高的CR相关，从检查开始开始，PillCam SB1和PillCam SB2/3最晚可能的EAI时间分别为1.5 h和4.6 h。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gastroenterology Report Medicine-Gastroenterology

CiteScore

4.60

自引率

2.80%

发文量

审稿时长

8 weeks

期刊介绍： Gastroenterology Report is an international fully open access (OA) online only journal, covering all areas related to gastrointestinal sciences, including studies of the alimentary tract, liver, biliary, pancreas, enteral nutrition and related fields. The journal aims to publish high quality research articles on both basic and clinical gastroenterology, authoritative reviews that bring together new advances in the field, as well as commentaries and highlight pieces that provide expert analysis of topical issues.