The ScotCap registry: An evaluation of 1000 colon capsule endoscopy procedures carried out in Scotland

IF 2.9 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Colorectal Disease Pub Date : 2024-12-29 DOI:10.1111/codi.17271

C. MacLeod, N. Rajapaksha, C. Brown, J. Hudson, Z. Asif, A. J. M. Watson, the ScotCap clinical leads

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Abstract

Aim

Colon capsule endoscopy (CCE) has been deployed in Scotland as an alternative to colonoscopy. The aim of this work was to report the outcomes of patients undergoing CCE in Scotland from the national CCE registry.

Method

Patients undergoing CCE in NHS Scotland between 1 August 2020 and 1 August 2021 were included in this study. Symptomatic and surveillance patients were vetted to undergo CCE by clinicians in four NHS Scotland health boards. Patient data were collected prospectively by an eHealth system managing CCE referral and report sign off. CCE procedural data were collected by a managed service carrying out CCE procedures. Data from both sources were compiled in the national CCE registry managed by Public Health Scotland.

Results

One thousand and eighty-seven patients were included in this study. The median age of patients was 60 years and 58.3% of patients were female. A haemoglobin(Hb) count was available for 657 (60.4%) patients and the mean value was 139 g/L. Faecal immunochemical test results were available for 762 (70.1%) patients, and of those with a test result 79.0% had a result ≥10 μgHb/g. The rates of complete test, adequate bowel preparation and successful test were 57.0%, 59.2% and 56.9%, respectively. Following CCE, no further test, colonoscopy, flexible sigmoidoscopy or gastroscopy were required for 42.0%, 34.1%, 22.7% and 2.6% of patients, respectively. Two (0.2%) patients experienced capsule retention with obstruction.

Conclusion

These are the first reported outcomes from the ScotCap registry; they demonstrate that CCE is a safe alternative to colonoscopy and a significant proportion of patients avoid colonoscopy when CCE is implemented nationally.

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来源期刊

Colorectal Disease 医学-胃肠肝病学

CiteScore

6.10

自引率

11.80%

发文量

406

审稿时长

1.5 months

期刊介绍： Diseases of the colon and rectum are common and offer a number of exciting challenges. Clinical, diagnostic and basic science research is expanding rapidly. There is increasing demand from purchasers of health care and patients for clinicians to keep abreast of the latest research and developments, and to translate these into routine practice. Technological advances in diagnosis, surgical technique, new pharmaceuticals, molecular genetics and other basic sciences have transformed many aspects of how these diseases are managed. Such progress will accelerate. Colorectal Disease offers a real benefit to subscribers and authors. It is first and foremost a vehicle for publishing original research relating to the demanding, rapidly expanding field of colorectal diseases. Essential for surgeons, pathologists, oncologists, gastroenterologists and health professionals caring for patients with a disease of the lower GI tract, Colorectal Disease furthers education and inter-professional development by including regular review articles and discussions of current controversies. Note that the journal does not usually accept paediatric surgical papers.