Gastrenterologia, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal.
Department of Gastroenterology and Hepatology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal.
Rev Esp Enferm Dig. 2018 Oct;110(10):605-611. doi: 10.17235/reed.2018.4834/2017.
the aim of this study was to determine predictive factors for an incomplete capsule endoscopy and an inadequate small-bowel preparation in capsule endoscopy.
predictive factors for an incomplete capsule endoscopy were evaluated. Therefore, all patients with incomplete examinations performed between June 2009 and February 2016 were retrospectively included and compared with all patients with complete procedures performed between January 2014 and February 2016. Predictive factors of an inadequate small-bowel cleanliness were assessed. Therefore, the subset of patients that underwent capsule endoscopy between January 2014 and February 2016, including incomplete examinations, were evaluated. Small-bowel cleanliness was evaluated according to a quantitative index and a qualitative evaluation scale. Data with regard to patient and capsule endoscopy was analyzed.
31 incomplete and 122 complete capsule endoscopies were included in the analysis of predictive factors for an incomplete capsule endoscopy. The degree of dependency (OR = 4.67; p = 0.028), performance of a capsule endoscopy in hospitalized patients (OR = 4.04; p = 0.006) and prior abdominal surgery (OR = 3.45; p = 0.012) were independent predictive factors of an incomplete procedure. 130 patients were included in the analysis of predictive factors for an inadequate small-bowel cleanliness. The mean quantitative index value was 7.3 (s.d. ± 2.3); 41.6% and 58.5% of capsule endoscopies were classified as poor-fair and good/excellent respectively, according to the qualitative evaluation. Independent predictive factors for an inadequate preparation according to the quantitative index included male gender (Beta = -0.79; p = 0.028), small-bowel transit time (Beta = -0.007; p < 0.0001) and cardiac disease (Beta = -1.29; p = 0.001). Associated factors according to the qualitative evaluation included male gender (OR = 0.406; p = 0.027) and small-bowel transit time (SBTT) (OR = 0.993; p < 0.0001).
inpatient status, higher degrees of dependency and abdominal surgery are predictive factors for an incomplete capsule endoscopy; male gender and higher small-bowel transit time are predictive factors for an inadequate cleanliness.
本研究旨在确定胶囊内镜检查中不完全胶囊内镜检查和小肠准备不足的预测因素。
评估了不完全胶囊内镜检查的预测因素。因此，回顾性纳入了 2009 年 6 月至 2016 年 2 月期间进行的所有不完全检查的患者，并与 2014 年 1 月至 2016 年 2 月期间进行的所有完整程序的患者进行比较。评估了小肠清洁度不足的预测因素。因此，评估了 2014 年 1 月至 2016 年 2 月期间进行胶囊内镜检查且包括不完全检查的患者亚组。根据定量指数和定性评估量表评估小肠清洁度。分析了与患者和胶囊内镜相关的数据。
31 例不完全胶囊内镜检查和 122 例完全胶囊内镜检查被纳入不完全胶囊内镜检查预测因素的分析。依赖性程度（OR = 4.67；p = 0.028）、住院患者进行胶囊内镜检查（OR = 4.04；p = 0.006）和既往腹部手术（OR = 3.45；p = 0.012）是程序不完全的独立预测因素。130 例患者被纳入小肠清洁度不足的预测因素分析。定量指数值的平均值为 7.3（标准差 ± 2.3）；根据定性评估，41.6%和 58.5%的胶囊内镜检查分别评为差-尚可和良好/优。根据定量指数，准备不足的独立预测因素包括男性（Beta = -0.79；p = 0.028）、小肠转运时间（Beta = -0.007；p < 0.0001）和心脏病（Beta = -1.29；p = 0.001）。根据定性评估，相关因素包括男性（OR = 0.406；p = 0.027）和小肠转运时间（OR = 0.993；p < 0.0001）。
住院状态、依赖性程度较高和腹部手术是胶囊内镜检查不完全的预测因素；男性和较高的小肠转运时间是清洁度不足的预测因素。
