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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.

BMC Gastroenterology

|August 11, 2023

Summary

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.

Keywords:

Cleanliness score Magnetic capsule endoscopy Transit time Visualization score

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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.