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Quality of Capsule Endoscopy Reporting in Patients Referred for Double Balloon Enteroscopy

BACKGROUND: Abnormal video capsule endoscopy (VCE) findings often require intervention with double balloon enteroscopy (DBE). Accurate VCE reporting is important for procedural planning. In 2017 the American Gastroenterological Association (AGA) published a guideline that included recommended elemen...

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Autores principales: Lee, Joshua, Reichstein, Jonathan, Vance, Iris, Wild, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10181337/
https://www.ncbi.nlm.nih.gov/pubmed/37187556
http://dx.doi.org/10.14740/gr1596
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author Lee, Joshua
Reichstein, Jonathan
Vance, Iris
Wild, Daniel
author_facet Lee, Joshua
Reichstein, Jonathan
Vance, Iris
Wild, Daniel
author_sort Lee, Joshua
collection PubMed
description BACKGROUND: Abnormal video capsule endoscopy (VCE) findings often require intervention with double balloon enteroscopy (DBE). Accurate VCE reporting is important for procedural planning. In 2017 the American Gastroenterological Association (AGA) published a guideline that included recommended elements for VCE reporting. The aim of this study was to examine adherence to the AGA reporting guidelines for VCE. METHODS: The medical records of all patients who underwent DBE at a tertiary academic center between February 1, 2018, and July 1, 2019, were retrospectively reviewed to identify the VCE report that prompted DBE. Data were collected on the presence of each reporting element recommended by the AGA. Differences in reporting between academic and private practices were compared. RESULTS: A total of 129 VCE reports were reviewed (84 private practice and 45 academic practice). Reports consistently included indication, date, endoscopist, findings, diagnosis, and management recommendations. Timing of anatomic landmarks and abnormalities were included in only 87.6% of reports and preparation quality in only 26.2%. Reports from private practice groups were significantly more likely to include the type of capsule (P < 0.001). VCE reports from academic centers were more likely to include adverse outcomes (P < 0.001), pertinent negatives (P = 0.0015), extent of exam (P = 0.009), previous investigations (P = 0.045), medications (P < 0.001), and document communication to patient/referring physician (P = 0.001). CONCLUSIONS: Most VCE reports in both private and academic settings included the important elements recommended by the AGA; however only 87% listed the times of landmarks and abnormal findings, which are crucial in determining the type and direction of approach for subsequent interventions. It is unclear whether the quality of VCE reporting influences the outcome of subsequent DBE.
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spelling pubmed-101813372023-05-13 Quality of Capsule Endoscopy Reporting in Patients Referred for Double Balloon Enteroscopy Lee, Joshua Reichstein, Jonathan Vance, Iris Wild, Daniel Gastroenterology Res Original Article BACKGROUND: Abnormal video capsule endoscopy (VCE) findings often require intervention with double balloon enteroscopy (DBE). Accurate VCE reporting is important for procedural planning. In 2017 the American Gastroenterological Association (AGA) published a guideline that included recommended elements for VCE reporting. The aim of this study was to examine adherence to the AGA reporting guidelines for VCE. METHODS: The medical records of all patients who underwent DBE at a tertiary academic center between February 1, 2018, and July 1, 2019, were retrospectively reviewed to identify the VCE report that prompted DBE. Data were collected on the presence of each reporting element recommended by the AGA. Differences in reporting between academic and private practices were compared. RESULTS: A total of 129 VCE reports were reviewed (84 private practice and 45 academic practice). Reports consistently included indication, date, endoscopist, findings, diagnosis, and management recommendations. Timing of anatomic landmarks and abnormalities were included in only 87.6% of reports and preparation quality in only 26.2%. Reports from private practice groups were significantly more likely to include the type of capsule (P < 0.001). VCE reports from academic centers were more likely to include adverse outcomes (P < 0.001), pertinent negatives (P = 0.0015), extent of exam (P = 0.009), previous investigations (P = 0.045), medications (P < 0.001), and document communication to patient/referring physician (P = 0.001). CONCLUSIONS: Most VCE reports in both private and academic settings included the important elements recommended by the AGA; however only 87% listed the times of landmarks and abnormal findings, which are crucial in determining the type and direction of approach for subsequent interventions. It is unclear whether the quality of VCE reporting influences the outcome of subsequent DBE. Elmer Press 2023-04 2023-04-28 /pmc/articles/PMC10181337/ /pubmed/37187556 http://dx.doi.org/10.14740/gr1596 Text en Copyright 2023, Lee et al. https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Joshua
Reichstein, Jonathan
Vance, Iris
Wild, Daniel
Quality of Capsule Endoscopy Reporting in Patients Referred for Double Balloon Enteroscopy
title Quality of Capsule Endoscopy Reporting in Patients Referred for Double Balloon Enteroscopy
title_full Quality of Capsule Endoscopy Reporting in Patients Referred for Double Balloon Enteroscopy
title_fullStr Quality of Capsule Endoscopy Reporting in Patients Referred for Double Balloon Enteroscopy
title_full_unstemmed Quality of Capsule Endoscopy Reporting in Patients Referred for Double Balloon Enteroscopy
title_short Quality of Capsule Endoscopy Reporting in Patients Referred for Double Balloon Enteroscopy
title_sort quality of capsule endoscopy reporting in patients referred for double balloon enteroscopy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10181337/
https://www.ncbi.nlm.nih.gov/pubmed/37187556
http://dx.doi.org/10.14740/gr1596
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