Small-bowel capsule endoscopy and device-assisted enteroscopy
for diagnosis and treatment of small-bowel disorders: European
Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update
2022

J 2023

Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022

PENNAZIO, Marco, Emanuele RONDONOTTI, Edward J DESPOTT, Xavier DRAY, Martin KEUCHEL et. al.

Basic information

Original name

Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022

Authors

Edition

Endoscopy, STUTTGART, GEORG THIEME VERLAG KG, 2023, 0013-726X

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30219 Gastroenterology and hepatology

Country of publisher

Germany

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 9.300 in 2022

RIV identification code

RIV/00216224:14110/23:00130087

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1055/a-1973-3796

UT WoS

000892335200004

Keywords in English

small-bowel capsule endoscopy; device-assisted enteroscopy; small-bowel disorders

Abstract

V originále

Main RecommendationsMR1 ESGE recommends small-bowel capsule endoscopy as the first-line examination, before consideration of other endoscopic and radiological diagnostic tests for suspected small-bowel bleeding, given the excellent safety profile of capsule endoscopy, its patient tolerability, and its potential to visualize the entire small-bowel mucosa.Strong recommendation, moderate quality evidence.MR2 ESGE recommends small-bowel capsule endoscopy in patients with overt suspected small-bowel bleeding as soon as possible after the bleeding episode, ideally within 48 hours, to maximize the diagnostic and subsequent therapeutic yield.Strong recommendation, high quality evidence.MR3 ESGE does not recommend routine second-look endoscopy prior to small-bowel capsule endoscopy in patients with suspected small-bowel bleeding or iron-deficiency anemia.Strong recommendation, low quality evidence.MR4 ESGE recommends conservative management in those patients with suspected small-bowel bleeding and high quality negative small-bowel capsule endoscopy.Strong recommendation, moderate quality evidence.MR5 ESGE recommends device-assisted enteroscopy to confirm and possibly treat lesions identified by small-bowel capsule endoscopy.Strong recommendation, high quality evidence.MR6 ESGE recommends the performance of small-bowel capsule endoscopy as a first-line examination in patients with iron-deficiency anemia when small bowel evaluation is indicated.Strong recommendation, high quality evidence.MR7 ESGE recommends small-bowel capsule endoscopy in patients with suspected Crohn's disease and negative ileocolonoscopy findings as the initial diagnostic modality for investigating the small bowel, in the absence of obstructive symptoms or known bowel stenosis.Strong recommendation, high quality evidence.MR8 ESGE recommends, in patients with unremarkable or nondiagnostic findings from dedicated small-bowel cross-sectional imaging, small-bowel capsule endoscopy as a subsequent investigation if deemed likely to influence patient management.Strong recommendation, low quality evidence.MR9 ESGE recommends, in patients with established Crohn's disease, the use of a patency capsule before small-bowel capsule endoscopy to decrease the capsule retention rate.Strong recommendation, moderate quality evidence.MR10 ESGE recommends device-assisted enteroscopy (DAE) as an alternative to surgery for foreign bodies retained in the small bowel requiring retrieval in patients without acute intestinal obstruction.Strong recommendation, moderate quality evidence.MR11 ESGE recommends DAE-endoscopic retrograde cholangiopancreatography (DAE-ERCP) as a first-line endoscopic approach to treat pancreaticobiliary diseases in patients with surgically altered anatomy (except for Billroth II patients).Strong recommendation, moderate quality evidence.

Citovat

PENNAZIO, Marco, Emanuele RONDONOTTI, Edward J DESPOTT, Xavier DRAY, Martin KEUCHEL, Tom MOREELS, David S SANDERS, Cristiano SPADA, Cristina CARRETERO, Pablo Cortegoso VALDIVIA, Luca ELLI, Lorenzo FUCCIO, Begona Gonzalez SUAREZ, Anastasios KOULAOUZIDIS, Lumír KUNOVSKÝ, Deirdre MCNAMARA, Helmut NEUMANN, Enrique PEREZ-CUADRADO-MARTINEZ, Enrique PEREZ-CUADRADO-ROBLES, Stefania PICCIRELLI, Bruno ROSA, Jean Christophe SAURIN, Reena SIDHU, Ilja TACHECI, Erasmia VLACHOU and Konstantinos TRIANTAFYLLOU. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy. STUTTGART: GEORG THIEME VERLAG KG, 2023, vol. 55, No 1, p. 58-95. ISSN 0013-726X. Available from: https://dx.doi.org/10.1055/a-1973-3796.

@article{2235238,
   author = {Pennazio, Marco and Rondonotti, Emanuele and Despott, Edward J and Dray, Xavier and Keuchel, Martin and Moreels, Tom and Sanders, David S and Spada, Cristiano and Carretero, Cristina and Valdivia, Pablo Cortegoso and Elli, Luca and Fuccio, Lorenzo and Suarez, Begona Gonzalez and Koulaouzidis, Anastasios and Kunovský, Lumír and McNamara, Deirdre and Neumann, Helmut and PerezandCuadradoandMartinez, Enrique and PerezandCuadradoandRobles, Enrique and Piccirelli, Stefania and Rosa, Bruno and Saurin, Jean Christophe and Sidhu, Reena and Tacheci, Ilja and Vlachou, Erasmia and Triantafyllou, Konstantinos},
   article_location = {STUTTGART},
   article_number = {1},
   doi = {http://dx.doi.org/10.1055/a-1973-3796},
   keywords = {small-bowel capsule endoscopy; device-assisted enteroscopy; small-bowel disorders},
   language = {eng},
   issn = {0013-726X},
   journal = {Endoscopy},
   title = {Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022},
   url = {https://www.esge.com/small-bowel-ce-and-dae-for-diagnosis-and-treatment-of-sb-update-2022/},
   volume = {55},
   year = {2023}
}

TY  - JOUR
ID  - 2235238
AU  - Pennazio, Marco - Rondonotti, Emanuele - Despott, Edward J - Dray, Xavier - Keuchel, Martin - Moreels, Tom - Sanders, David S - Spada, Cristiano - Carretero, Cristina - Valdivia, Pablo Cortegoso - Elli, Luca - Fuccio, Lorenzo - Suarez, Begona Gonzalez - Koulaouzidis, Anastasios - Kunovský, Lumír - McNamara, Deirdre - Neumann, Helmut - Perez-Cuadrado-Martinez, Enrique - Perez-Cuadrado-Robles, Enrique - Piccirelli, Stefania - Rosa, Bruno - Saurin, Jean Christophe - Sidhu, Reena - Tacheci, Ilja - Vlachou, Erasmia - Triantafyllou, Konstantinos
PY  - 2023
TI  - Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022
JF  - Endoscopy
VL  - 55
IS  - 1
SP  - 58-95
EP  - 58-95
PB  - GEORG THIEME VERLAG KG
SN  - 0013726X
KW  - small-bowel capsule endoscopy
KW  - device-assisted enteroscopy
KW  - small-bowel disorders
UR  - https://www.esge.com/small-bowel-ce-and-dae-for-diagnosis-and-treatment-of-sb-update-2022/
N2  - Main RecommendationsMR1 ESGE recommends small-bowel capsule endoscopy as the first-line examination, before consideration of other endoscopic and radiological diagnostic tests for suspected small-bowel bleeding, given the excellent safety profile of capsule endoscopy, its patient tolerability, and its potential to visualize the entire small-bowel mucosa.Strong recommendation, moderate quality evidence.MR2 ESGE recommends small-bowel capsule endoscopy in patients with overt suspected small-bowel bleeding as soon as possible after the bleeding episode, ideally within 48 hours, to maximize the diagnostic and subsequent therapeutic yield.Strong recommendation, high quality evidence.MR3 ESGE does not recommend routine second-look endoscopy prior to small-bowel capsule endoscopy in patients with suspected small-bowel bleeding or iron-deficiency anemia.Strong recommendation, low quality evidence.MR4 ESGE recommends conservative management in those patients with suspected small-bowel bleeding and high quality negative small-bowel capsule endoscopy.Strong recommendation, moderate quality evidence.MR5 ESGE recommends device-assisted enteroscopy to confirm and possibly treat lesions identified by small-bowel capsule endoscopy.Strong recommendation, high quality evidence.MR6 ESGE recommends the performance of small-bowel capsule endoscopy as a first-line examination in patients with iron-deficiency anemia when small bowel evaluation is indicated.Strong recommendation, high quality evidence.MR7 ESGE recommends small-bowel capsule endoscopy in patients with suspected Crohn's disease and negative ileocolonoscopy findings as the initial diagnostic modality for investigating the small bowel, in the absence of obstructive symptoms or known bowel stenosis.Strong recommendation, high quality evidence.MR8 ESGE recommends, in patients with unremarkable or nondiagnostic findings from dedicated small-bowel cross-sectional imaging, small-bowel capsule endoscopy as a subsequent investigation if deemed likely to influence patient management.Strong recommendation, low quality evidence.MR9 ESGE recommends, in patients with established Crohn's disease, the use of a patency capsule before small-bowel capsule endoscopy to decrease the capsule retention rate.Strong recommendation, moderate quality evidence.MR10 ESGE recommends device-assisted enteroscopy (DAE) as an alternative to surgery for foreign bodies retained in the small bowel requiring retrieval in patients without acute intestinal obstruction.Strong recommendation, moderate quality evidence.MR11 ESGE recommends DAE-endoscopic retrograde cholangiopancreatography (DAE-ERCP) as a first-line endoscopic approach to treat pancreaticobiliary diseases in patients with surgically altered anatomy (except for Billroth II patients).Strong recommendation, moderate quality evidence.
ER  -

PENNAZIO, Marco, Emanuele RONDONOTTI, Edward J DESPOTT, Xavier DRAY, Martin KEUCHEL, Tom MOREELS, David S SANDERS, Cristiano SPADA, Cristina CARRETERO, Pablo Cortegoso VALDIVIA, Luca ELLI, Lorenzo FUCCIO, Begona Gonzalez SUAREZ, Anastasios KOULAOUZIDIS, Lumír KUNOVSKÝ, Deirdre MCNAMARA, Helmut NEUMANN, Enrique PEREZ-CUADRADO-MARTINEZ, Enrique PEREZ-CUADRADO-ROBLES, Stefania PICCIRELLI, Bruno ROSA, Jean Christophe SAURIN, Reena SIDHU, Ilja TACHECI, Erasmia VLACHOU and Konstantinos TRIANTAFYLLOU. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. \textit{Endoscopy}. STUTTGART: GEORG THIEME VERLAG KG, 2023, vol.~55, No~1, p.~58-95. ISSN~0013-726X. Available from: https://dx.doi.org/10.1055/a-1973-3796.

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