Department of Gastroenterology, Centro Hospitalar de Vila Nova de Gaia/Espinho EPE, Vila Nova de Gaia, Portugal.
Turk J Gastroenterol. 2022 Jul;33(7):570-575. doi: 10.5152/tjg.2022.21574.
The prevention of severe acute respiratory syndrome corona virus 2 transmission implies several social distancing mea- sures, imposing a change in the protocols of several hospital departments. Capsule endoscopy protocols changes were implemented and evaluated in a Portuguese tertiary center.
The authors compared pre-pandemic and peri-pandemic protocols, the latter favoring social distancing, used in MiroCam (IntroMedic, Seoul, Korea) and PillCam Crohn (Medtronic, Minneapolis, Minn, USA) capsule endoscopy, in a Gastroenterology Department of a tertiary center. All capsule endoscopy performed in outpatients between February 2018 and September 2020 was included. The authors compared significant lesions detection rate, completeness of procedure, adequate bowel preparation, complications rate, and patient satisfaction (through a brief phone call survey) among the protocols.
This study included 70 MiroCam CE and 43 PillCam Crohn capsule endoscopy. No statistically significant differences concern- ing performance measures and patients satisfaction were found among the pre-pandemic protocol and the peri-pandemic protocol in MiroCam capsule endoscopy. Conversely, in PillCam Crohn capsule endoscopy, the rate of complete exams was significantly inferior in the peri-pandemic protocol (84.8% vs 50.0%, P = .036), with no other statistically significant differences in the remaining parameters.
The performance measures and patient satisfaction were similar among the protocols analyzed for MiroCam capsule endoscopy. Thus, the readjustment of this capsule endoscopy system, which favors a reduction in hospital stay, appears to be a good alternative to the former protocols in this pandemic era. In contrast, the rate of complete exams was significantly inferior in the adapted protocol to the pandemic era for PillCam Crohn capsule endoscopy, disfavoring its maintenance in the clinical practice.
预防严重急性呼吸综合征冠状病毒 2 型的传播需要采取多种社交距离措施，这对医院多个科室的方案都提出了改变的要求。本文在葡萄牙一家三级中心对胶囊内镜方案进行了调整并评估。
作者对比了大流行前和大流行期间的方案，后者更有利于保持社交距离，用于 MiroCam（IntroMedic，韩国首尔）和 PillCam Crohn（Medtronic，美国明尼苏达州明尼阿波利斯）胶囊内镜检查，在一家三级中心的消化科进行。所有在 2018 年 2 月至 2020 年 9 月期间进行的门诊胶囊内镜检查均包含在内。作者对比了方案之间的病变检出率、检查的完整性、肠道准备情况、并发症发生率和患者满意度（通过简短的电话调查）。
本研究共纳入 70 例 MiroCam CE 和 43 例 PillCam Crohn 胶囊内镜检查。在 MiroCam 胶囊内镜检查中，大流行前方案和大流行期间方案在性能指标和患者满意度方面无统计学差异。相反，在 PillCam Crohn 胶囊内镜检查中，大流行期间方案的完全检查率明显较低（84.8%比 50.0%，P=.036），而其余参数则无统计学差异。
对于 MiroCam 胶囊内镜检查，分析的方案在性能指标和患者满意度方面相似。因此，调整该胶囊内镜系统以减少住院时间，似乎是大流行时代替代原有方案的良好选择。相反，在适应大流行时代的 PillCam Crohn 胶囊内镜检查方案中，完全检查的比例明显较低，不利于其在临床实践中的保留。
