Department of Gastroenterology, Tallaght University Hospital, Tallaght, Dublin, 24, Ireland.
TAGG Research Centre, School of Medicine, Trinity College Dublin, Dublin, Ireland.
BMC Gastroenterol. 2023 Mar 9;23(1):61. doi: 10.1186/s12876-022-02561-x.
Increased familiarity with capsule endoscopy (CE) has been associated with a growing demand for urgent inpatient procedures. Limited data exists comparing the effect of admission status on colon capsule (CCE) and pan-intestinal capsule (PIC) performance. We aimed to compare the quality of inpatient versus outpatient CCE and PIC studies.
A retrospective nested case-control study. Patients were identified from a CE database. PillCam Colon 2 Capsules with standard bowel preparation and booster regimen were used in all studies. Basic demographics and key outcome measures were documented from procedure reports and hospital patient records, and compared between groups.
105 subjects were included, 35 cases and 70 controls. Cases were older, were more frequently referred with active bleeding and had more PICs. The diagnostic yield was high at 77% and was similar in both groups. Completion rates were significantly better for outpatients, 43% (n = 15) v's 71% (n = 50), OR 3, NN3. Neither gender nor age affected completion rates. Completion rates and preparation quality were similar for CCE and PIC inpatient procedures.
Inpatient CCE and PIC have a clinical role. There is an increased risk of incomplete transit in inpatients, and strategies to mitigate against this are needed.
胶囊内镜（CE）的应用越来越广泛，人们对其的熟悉程度也越来越高，这导致对紧急住院程序的需求不断增加。目前关于入院状态对结肠胶囊（CCE）和全肠道胶囊（PIC）性能影响的相关数据有限。我们旨在比较住院与门诊 CCE 和 PIC 研究的质量。
这是一项回顾性嵌套病例对照研究。从 CE 数据库中确定患者。所有研究均使用标准肠道准备和增强方案的 PillCam Colon 2 胶囊。从程序报告和医院患者记录中记录基本人口统计学和主要结果指标，并在组间进行比较。
共纳入 105 例患者，35 例为病例，70 例为对照。病例组年龄较大，更常因活动性出血而被转诊，且 PIC 较多。诊断率较高，为 77%，两组相似。门诊患者的完成率明显更好，43%（n=15）比 71%（n=50），OR 3，NN3。性别和年龄均不影响完成率。CCE 和 PIC 住院程序的完成率和准备质量相似。
住院 CCE 和 PIC 具有临床作用。住院患者的传输不完全风险增加，需要采取策略加以缓解。
