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versão On-line ISSN 2444-6483versão impressa ISSN 0188-9893


GARCIA-CONTRERAS, Luis F.; BLANCO-VELASCO, Gerardo; SOLORZANO-PINEDA, Omar M.  e  HERNANDEZ-MONDRAGON, Óscar V.. Performance measures in the evaluation of small bowel by capsule endoscopy on a third level hospital. Endoscopia [online]. 2020, vol.32, n.3, pp.91-96.  Epub 11-Out-2021. ISSN 2444-6483.


Quality indicators (QI) standardize endoscopic procedures to provide better results. The European Society for Gastrointestinal Endoscopy recently published QI for capsule endoscopy (CE) assessment of the small intestine (SI).


To assess the adherence to the QI suggested in the evaluation of the SI by CE in a tertiary care center.

Material and methods:

A review and inclusion of the CE performed in our center for 18 months was performed.


Two hundred CE were included, dividing the QI in pre-, intra- and postprocedures and into key and minor QI. The assessment of patients with a high risk of CE retention by Patency capsule was excluded from the pre-procedures because we did not have it; CE was performed by adequate indication and CE was not performed early in those with SI bleeding. From the intraprocedural QIs, complete visualization of the SI was achieved, structured terminology for endoscopic capsule was used and the CE reading was performed at 15 fields per second, failing to evaluate the degree of intestinal cleaning using validated scales because they were not documented in the endoscopic report. The CE retention rate was adequate in the postprocedures, but device-assisted enteroscopy was not adequately sent to all those in need. Therefore, there was compliance with 4 of the 6 QIs classified as major and 2 of 3 classified as minor.


The goals established in 6 out of 9 QIs evaluated were met. Feedback via QI evaluation allows evaluating weak points for future improvement.

Palavras-chave : Quality indicators; Capsule endoscopy; Small intestine.

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