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Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Updated: Feb 17, 2026

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Small bowel capsule endoscopy: May we delegate it to nurses?

Johann Dreanic1, Maximilien Barret1, Marion Dhooge1

  • 1Gastroenterology and endoscopy unit, hôpital Cochin, faculté de médecine, université Paris Descartes, Sorbonne Paris Cité, AP-HP, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.

Clinics and Research in Hepatology and Gastroenterology
|December 15, 2017
PubMed
Summary

Training nurses for small bowel capsule endoscopy (CE) reading is feasible, significantly reducing gastroenterologist reading time. Partial delegation for image pre-selection by nurses proved effective, while full delegation showed limitations in accuracy and efficiency.

Keywords:
Capsule endoscopyDelegation skillsNurse delegationSmall bowel diseaseVideocapsule endoscopy

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Area of Science:

  • Gastroenterology
  • Medical Imaging
  • Nursing Education

Background:

  • Small bowel capsule endoscopy (CE) generates extensive data, leading to prolonged reading times for gastroenterologists.
  • Transferring CE reading skills to nurses is being explored to optimize workflow and reduce medical reading time.
  • This study investigates the feasibility and efficacy of nurse-led CE interpretation.

Purpose of the Study:

  • To evaluate the feasibility of training nurses to read small bowel capsule endoscopy (CE) examinations.
  • To compare the efficacy of partial versus total delegation of CE reading tasks to nurses.
  • To assess the impact on reading time and diagnostic accuracy.

Main Methods:

  • Nurses underwent training for small bowel CE image selection and interpretation.
  • Two strategies were tested: partial delegation (nurses select images, experts interpret) and total delegation (nurses select, interpret, and report).
  • Performance was compared against a control group of expert readers, analyzing accuracy and time efficiency.

Main Results:

  • Partial delegation (Strategy A) showed no significant difference in transit time or normal examination identification compared to the control.
  • Strategy A significantly reduced median medical reading time from 34.0 to 9.2 minutes with 95% accuracy.
  • Total delegation (Strategy B) resulted in 80% accuracy, with discrepancies in image selection and interpretation, and no significant time savings.

Conclusions:

  • Nurse pre-selection of pathological images in small bowel CE is feasible and offers significant time savings for gastroenterologists.
  • A comprehensive nurse training program for CE image pre-selection and identification is recommended.
  • Full delegation of CE reading to nurses is currently limited in efficacy.