High concordance between trained nurses and gastroenterologists in evaluating recordings of small bowel video capsule endoscopy (VCE).

摘要: BACKGROUND AND AIMS . The video capsule endoscopy (VCE) is an accurate and validated tool to investigate the entire small bowel mucosa, but VCE recordings interpretation by gastroenterologist time-consuming. A pre-reading of expert nurse could be cost saving. We assessed concordance between nurses gastroenterologists in detecting lesions on examinations. METHODS This was a prospective study enrolling consecutive patients who had undergone clinical practice. Two trained two participated study. At selected any abnormalities, saved them as "thumbnails" classified detected vascular abnormality, ulcerative lesion, polyp, tumor mass, unclassified lesion. Then, evaluated interpreted and, successively, reviewed for potential missed lesions. time evaluation recorded. RESULTS total 95 procedures performed (M/F: 47/48; mean age: 63 +/- 12 years, range: 27-86 years) were evaluated. Overall, at least one lesion 54 (56.8%) patients. There agreement gastroenterologists, no missing being discovered second look recording physician. procedure allowed reduction medical from 49 (33-69) 10 (8-16) minutes (difference: -79.6%). CONCLUSIONS Our data suggest that can accurately identify select relevant thumbnails subsequently faster final diagnosis. significantly reduce procedure.