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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)

Digestive Endoscopy Sep 15, 2021

Ohmiya N, Oka S, Nakayama Y, et al. - Endoscopic delivery (ED) of capsule endoscopes was found to be safe and efficacious in adult and pediatric patients studied in this large-scale study.

  • This retrospective analysis involved 10,156 patients who had small bowel capsule endoscopy (SBCE), 3182 who had patency capsule (PC), and 1367 who had colon capsule endoscopy (CCE).

  • ED of SBCEs, PCs, and CCEs was performed in 546 (5.4%), 214 (6.7%), and 14 (1.0%) patients, respectively.

  • For 21.6% (167/774), only mild complications were evident.

  • Among patients aged <16 years and ≥16 years, successful ED of SBCE to the duodenum or jejunum was achieved in 91.8% and 90.7%, respectively, but with higher total enteroscopy rate in the first group.

  • In 84.1% and 28.6%, there occurred successful PC and CCE delivery to the duodenum.

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