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Utilidad clí­nica de la videocápsula endoscópica en el estudio de patologías de intestino delgado en Colombia: resultados de un registro nacional / Fabián Juliao Baños ; Gabriel Alonso Mosquera Klinger ; Jhon Jaime Carvajal Gutiérrez  

Público ISBD Título : Utilidad clí­nica de la videocápsula endoscópica en el estudio de patologías de intestino delgado en Colombia: resultados de un registro nacional Otros títulos : Clinical utility of the small bowel capsule endoscopy in the study of small bowel diseases in Colombia: Results of a national registry Tipo de documento : documento electrónico Autores : Fabián Juliao Baños, ; Gabriel Alonso Mosquera Klinger, ; Jhon Jaime Carvajal Gutiérrez, Fecha de publicación : 2021 Títulos uniformes : Gastroenterología y Hepatología Idioma : Español (spa) Palabras clave : Crohn's disease  Diagnostic yield  Enfermedad de Crohn  Parasites  Parásitos  Rendimiento diagnóstico  Sangrado de intestino delgado  Small bowel bleeding  Small bowel capsule endoscopy  Videocápsula endoscópica de intestino delgado Resumen : Introduction: The small bowel capsule endoscopy (SBCE) has revolutionised the study of small bowel diseases. The objective of this study is to determine the indications, findings and diagnostic yield of SBCE in a national registry. Patients and methods: An observational, analytical cross-sectional study was carried out, analysing the SBCE records at seven centres in the country, where different variables were collected. Results: 1,883 SBCEs were evaluated. The average age was 55.4 years (5.6-94.2). The most frequent indications were suspicion of small bowel bleeding (SBB) (64.4%), study of Crohn's disease (15.2%) and chronic diarrhoea (11.2%). 54.3% were prepared with laxatives. The most frequent lesions found were erosions/ulcers (31.6%), angioectasias (25.7%) and parasitosis (2.7%). The diagnostic yield (P1+P2, Saurin classification) of SBCE in SBB was 60.6%, being higher in overt SBB (66.0%) compared to occult SBB (56.0%) (P=.003). The studies with better preparation showed higher detection of lesions (93.8% vs. 89.4%) (OR=1.8, CI: 95%: 1.2-2.6; P=.004). The SBCE complication rate was 3.1%, with complete SB visualisation at 96.6% and SB retention rate of 0.7%. 81.5% of SBCEs were performed on an outpatient basis, and presented a greater complete SB visualisation than hospital ones (97.1% vs. 94.3%) (OR=2.1, CI: 95%, 1.2-3.5; P=.008). Conclusions: The indications, findings and diagnostic performance of SBCEs in Colombia are similar to those reported in the literature, with a high percentage of complete studies and a low rate of complications. Mención de responsabilidad : Fabián Juliao-Baños, María T. Galiano, Joselyn Camargo, Gabriel Mosquera-Klinger, Jhon Carvajal, Claudia Jaramillo, Luis Sabbagh, Héctor Cure, Fernando García, Benedicto Velasco, Camilo Manrique, Viviana Parra, Cristian Flórez y José Bareño Referencia : Gastroenterol Hepatol. 2021 May;44(5):346-354. DOI (Digital Object Identifier) : 10.1016/j.gastrohep.2020.09.011 PMID : 33199128 En línea : https://linkinghub.elsevier.com/retrieve/pii/S0210570520303897 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis Utilidad clí­nica de la videocápsula endoscópica en el estudio de patologías de intestino delgado en Colombia: resultados de un registro nacional = Clinical utility of the small bowel capsule endoscopy in the study of small bowel diseases in Colombia: Results of a national registry [documento electrónico] / Fabián Juliao Baños, ; Gabriel Alonso Mosquera Klinger, ; Jhon Jaime Carvajal Gutiérrez,  . - 2021. Obra : Gastroenterología y Hepatología Idioma : Español (spa) Palabras clave : Crohn's disease  Diagnostic yield  Enfermedad de Crohn  Parasites  Parásitos  Rendimiento diagnóstico  Sangrado de intestino delgado  Small bowel bleeding  Small bowel capsule endoscopy  Videocápsula endoscópica de intestino delgado Resumen : Introduction: The small bowel capsule endoscopy (SBCE) has revolutionised the study of small bowel diseases. The objective of this study is to determine the indications, findings and diagnostic yield of SBCE in a national registry. Patients and methods: An observational, analytical cross-sectional study was carried out, analysing the SBCE records at seven centres in the country, where different variables were collected. Results: 1,883 SBCEs were evaluated. The average age was 55.4 years (5.6-94.2). The most frequent indications were suspicion of small bowel bleeding (SBB) (64.4%), study of Crohn's disease (15.2%) and chronic diarrhoea (11.2%). 54.3% were prepared with laxatives. The most frequent lesions found were erosions/ulcers (31.6%), angioectasias (25.7%) and parasitosis (2.7%). The diagnostic yield (P1+P2, Saurin classification) of SBCE in SBB was 60.6%, being higher in overt SBB (66.0%) compared to occult SBB (56.0%) (P=.003). The studies with better preparation showed higher detection of lesions (93.8% vs. 89.4%) (OR=1.8, CI: 95%: 1.2-2.6; P=.004). The SBCE complication rate was 3.1%, with complete SB visualisation at 96.6% and SB retention rate of 0.7%. 81.5% of SBCEs were performed on an outpatient basis, and presented a greater complete SB visualisation than hospital ones (97.1% vs. 94.3%) (OR=2.1, CI: 95%, 1.2-3.5; P=.008). Conclusions: The indications, findings and diagnostic performance of SBCEs in Colombia are similar to those reported in the literature, with a high percentage of complete studies and a low rate of complications. Mención de responsabilidad : Fabián Juliao-Baños, María T. Galiano, Joselyn Camargo, Gabriel Mosquera-Klinger, Jhon Carvajal, Claudia Jaramillo, Luis Sabbagh, Héctor Cure, Fernando García, Benedicto Velasco, Camilo Manrique, Viviana Parra, Cristian Flórez y José Bareño Referencia : Gastroenterol Hepatol. 2021 May;44(5):346-354. DOI (Digital Object Identifier) : 10.1016/j.gastrohep.2020.09.011 PMID : 33199128 En línea : https://linkinghub.elsevier.com/retrieve/pii/S0210570520303897 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_dis

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