UEG's content platform for gastroenterology education bringing recordings, courses, guidelines, and more together in one place.

UEG Week Berlin 2025 Recordings Gut Guide online What's new on Gutflix

Trending on Gutflix

Rate for better recommendations!

Your feedback helps us show you more of what you like and less of what you dislike!

More of this!

We will show you more similar content.

Not for me!

We won't suggest this again.

Bookmark!

Save this content for later!

New to myUEG? Create an account! Log In with myUEG account

UEG Poster

Standard Poster

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

IS ENDOSCOPIC PLACEMENT OF CAPSULE ENDOSCOPY MANDATORY IN PATIENTS WITH PREVIOUS GASTROINTESTINAL SURGERIES?

Ana Isabel Ferreira 1,2,3, Joao Carlos Goncalves 1,2,3, Sofia Xavier 1,2,3, Cátia Arieira 1,2,3, Pedro Boal Carvalho 1,2,3, Bruno Rosa 1,2,3, José Berkeley Cotter 1,2,3

Affiliations

1 Hospital Senhora da Oliveira, Guimarães, Portugal

2 School of Medicine, University of Minho, Braga, Portugal

3 PT Government Associate Laboratory, Braga/Guimarãesport, Portugal

Summary

AI Generated

A retrospective cohort study of 642 patients found that capsule endoscopy completion rates and diagnostic yield in patients with prior gastrointestinal surgery were comparable to those without surgery, and endoscopic placement using the AdvanCE device did not improve outcomes.

Among 642 patients undergoing capsule endoscopy, 17 (2.6%) had previous gastrointestinal surgery including gastric bypass, Y-de-Roux, Bilroth procedures, and sleeve gastrectomy.
In patients without endoscopic placement, complete examination rates were similar between surgery and non-surgery groups (86.7% vs 85.3%, p=1.000), as were adequate bowel preparation (73.3% vs 78.1%, p=0.751) and diagnostic yield (40% vs 38%, p=0.875).
Endoscopic placement of the capsule using the AdvanCE device was 13.3 times more likely in patients with previous surgery (11.8% vs 1.0%, p=0.017) but did not improve complete examination rates (50.0% with placement vs 86.7% without, p=0.331).
Complete examination, bowel preparation quality, and diagnostic yield did not differ significantly among different surgery types (gastric bypass, Y-de-Roux, Bilroth II).
This material is relevant for gastroenterologists performing capsule endoscopy in patients with altered gastrointestinal anatomy.

Download PDF

Was this helpful?

Thanks for your feedback.

This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

Abstract

Introduction

Capsule endoscopy (CE) is an important non-invasive diagnostic modality for the evaluation of small bowel and colon. However, in patients with gastrointestinal tract anatomy altered by surgical interventions, there can be a higher risk of incomplete examination of small bowel and colon.

Aims & Methods

The aim of our study was to evaluate the rate of complete examination and diagnostic yield of CE, in patients with previous gastrointestinal surgery, as well as the impact of endoscopic placement of CE using the AdvanCE device.
Retrospective, cohort study, including patients submitted to CE of the small bowel or colon, detailing patients with previous gastrointestinal surgeries and with endoscopic placement of CE.

Results

A total of 642 patients was included, 17 with previous gastrointestinal surgery (2.6%), from which 9 with gastric bypass and Y-de-Roux (with 3 having esophagojejunostomy and 6 gastrojejunostomy), 3 patients with Bilroth II, 2 with Bilroth I e 3 patients with sleeve gastrectomy.
Endoscopic placement of CE was performed at the discretion of the responsible gastroenterologist and occurred in 8 patients (1.2%). It was 13.3 times more likely to be performed in patients with previous gastrointestinal surgery (11.8% vs 1.0%, p=0.017).
In patients without endoscopic placement of CE, the rate of complete examination of the gastrointestinal tract, adequate bowel preparation and diagnostic yield was comparable between those with and without previous gastrointestinal surgery: 86.7% vs 85.3% (p=1.000), 73.3% vs 78.1% (p=0.751) e 40% vs 38% (p=0.875), respectively.
In patients with gastrointestinal surgery, the rate of complete examination of the gastrointestinal tract was comparable between patients with and without endoscopic placement of CE: 50.0% vs 86.7% (p=0.331). The rate of complete examination of the gastrointestinal tract, adequate bowel preparation and diagnostic yield was not influenced by the different types of surgery, considering patients with gastric bypass vs Y-de-Roux vs Bilroth II: 75.0% vs 80.0% vs 66.7% (p=0.915), 50.0% vs 60.0% vs 66.7% (p=0.902) e 25.0% vs 20.0% vs 66.7% (p=0.363), respectively.

Conclusion

CE is effective, even in patients with previous gastrointestinal surgery, with diagnostic yield and rate of complete examination of the gastrointestinal tract similar to other patients, regardless of the type of surgery. Endoscopic placement of CE with AdvanCE device does not seem to improve outcomes in patients with previous gastrointestinal surgery.

Conference

UEG Week Copenhagen 2023

Topics

Oesophagus

Submission format

Abstract

Session

PP 01 Oesophageal, gastric and duodenal disorders (Posters)

Citation

United European Gastroenterology Journal 2023; 11 (Supplement 8)

Published

2023

More Like This:

BOWEL PREPARATION WITH STILL WATER FOR SMALL BOWEL CAPSULE ENDOSCOPY: LESS IS MORE

José Berkeley Cotter

ENDOSCOPIC GASTROINTESTINAL PLACEMENT (EGIPT) OF CAPSULE ENDOSCOPY TO INVESTIGATE THE SMALL BOWEL: A MULTICENTRIC EUROPEAN RETROSPECTIVE SERIES OF 630 PROCEDURES IN ADULT PATIENTS

Pierre Ellul

TIMING OF UPPER GASTROINTESTINAL ENDOSCOPY AND ITS RELATIONSHIP WITH ENDOSCOPIC FINDINGS IN PATIENTS WITH ACUTE UPPER GASTROINTESTINAL BLEEDING: A PROSPECTIVE COHORT STUDY

Bashir Badawi Mobaed

A “SUGAR-COATED” PROBLEM: ELEVATED HEMOGLOBIN A1C LEVELS ARE ASSOCIATED WITH PROLONGED GASTRIC TRANSIT TIME IN DIABETIC PATIENTS UNDERGOING CAPSULE ENDOSCOPY

José Berkeley Cotter

TIMING OF CAPSULE ENDOSCOPY IN OVERT OBSCURE GASTROINTESTINAL BLEEDING

Ji Won Kim

CONCORDANCE AND CLINICAL RELEVANCE OF ENDOSCOPIC AND HISTOLOGIC FINDINGS IN PEDIATRIC UPPER GASTROINTESTINAL ENDOSCOPY

Marleena Repo

UEG Poster

Standard Poster

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.