AI Article Synopsis
- Capsule endoscopy (CE) is a key tool for diagnosing obscure gastrointestinal issues, but challenges like expertise and costs limit its accessibility, which multicentric cooperation can address.
- A central hospital purchased CE equipment, which is used by network partners for procedures, while video analysis is conducted at the central site.
- Over ten years, 822 CE procedures were performed collaboratively, increasing annual CE rates significantly, minimizing individual hospital costs, and facilitating quick diagnoses and follow-ups.
Article Abstract
Introduction: Capsule endoscopy (CE) is firmly established as a standard procedure in the diagnostic algorithm of occult or obscure gastrointestinal bleeding and Crohn's disease. Despite its excellent diagnostic yield, missing expertise, reading time and financial expenditure limit an area-wide availability. A multicentric cooperation might compensate these disadvantages.
Methods: CE device was bought by a central hospital (CH). Requested equipment is transported to the network partner (NP) and the procedure performed at the spot in personal responsibility. Video reading is exclusively done in the CH.
Results: Within 10 years, 822 CE (438 m., 384 f.; 63 ± 17 (13-92) years) were performed by 18 cooperating gastroenterological departments. 587/822 (71%) CE were done at NP, 235/822 (29%) in the CH. Between 2002 (n = 39) and 2011 (n = 123) the annual number of CE increased threefold. 95% of the capital investment in each cooperating hospital could be avoided by sharing one workstation within the network. Leading indication for CE was suspected mid-GI-bleeding (80%). Mean latencies between requested date and actual examination were 0 and between equipment's return and report 2 days. 45/191(24%) flexible enteroscopies performed in the CH followed CE findings from NP.
Discussion: Our 10 years experience show that mobile use of CE is feasible providing quality parameters similar to a single center solution, increases the number of CE investigations, therefore, improves reading expertise and enables both an area-wide and economic offer for this technique. Additionally, patients with the need for invasive enteroscopy are identified and attracted to that NP who provides an invasive SB endocopy device.
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| http://dx.doi.org/10.3109/00365521.2013.812678 | DOI Listing |
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