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Magnetic-controlled capsule endoscopy performance in aging patients
Jiaxin Li1, Li Li1, Yueyuan Li1
1Department of Geriatrics, Peking University First Hospital, No. 8 Xishiku St., Xicheng District, Beijing, 100034, China.
Background:
The increasing elderly population and wide use of magnetic capsule endoscopy (MCE) have led to more attention to elderly patients.
Aim:
The aim of this study was to assess the performance (including transit time, cleanliness score, positive findings and safety) of MCE in aging patients (≥ 60 years), especially patients over 80 years old.
Methods:
Consecutive patients of ≥ 60 years undergoing MCE at our center from August 2017 to August 2022 were classified into the oldest (≥ 80 years) and the older (60-79 years) groups. Esophageal transit time (ETT), gastric examination time (GET), small bowel transit time (SITT), and the quality of gastric preparation were compared. Information on examination indications, subjective discomforts, adverse events, and MCE outcomes were compared.
Results:
Of 293 enrolled patients, 128 patients were in the oldest group and 165 patients were in the older group. ETT and GET were longer in the oldest group, whereas SITT was slightly longer in the oldest patients. Visualization scores were significantly lower in the body and antrum in the oldest patients. The total visualization score was lower in the older group compared with the oldest group; however, the difference was not significant. Cleanliness scores at the fundus and antrum and total cleanliness scores were lower in the oldest patients compared with the older patients. Positive findings and ulcers and erosions in the small intestine were more common in the oldest group. One patient had nausea during the gastric examination. Capsule retention in the cecum occurred in one case.
Conclusion:
MCE was feasible and safe for aging patients. ETT and GET were markedly longer and gastric cleanliness and visualization were worse, while overall small intestine-positive findings were higher in the oldest patients compared with the older patients.
Insights
Magnetic capsule endoscopy (MCE) is safe for elderly patients. Older adults (≥80 years) showed longer transit times and poorer gastric visualization but more small intestine findings compared to younger elderly patients.
Area of Science:
- Gastroenterology
- Medical Devices
- Geriatric Medicine
Background:
- The aging global population necessitates evaluating diagnostic tools for elderly patients.
- Magnetic capsule endoscopy (MCE) is increasingly used, requiring specific performance assessment in older demographics.
Purpose of the Study:
- To evaluate the performance of MCE in patients aged 60 years and older.
- Specifically compare MCE outcomes in the oldest (≥80 years) versus older (60-79 years) patient groups.
Main Methods:
- A comparative analysis of 293 patients aged ≥60 undergoing MCE.
- Patients were stratified into oldest (≥80) and older (60-79) groups.
- Key metrics included transit times (esophageal, gastric, small bowel), visualization and cleanliness scores, indications, adverse events, and MCE findings.
Main Results:
- The oldest group (≥80) exhibited longer esophageal transit time (ETT) and gastric examination time (GET).
- Gastric visualization and cleanliness scores were significantly lower in the oldest group.
- Higher rates of positive findings, including small intestine ulcers and erosions, were observed in the oldest patients.
Conclusions:
- Magnetic capsule endoscopy (MCE) is a feasible and safe procedure for aging patients.
- While gastric examination quality may be reduced in the very elderly (≥80), MCE effectively detects small intestine pathologies.
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