Capsule Endoscopy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators: (Re)evaluation of the Current State in Germany, Austria, and Switzerland 2010

Background and Aims. The study was a repeated evaluation of the experience of capsule endoscopy (CE) in patients with cardiac pacemaker or implantable cardioverter defibrillator (ICD). Patients and Methods. A standardized questionnaire was sent by the manufactors Given Imaging and Olympus to all cen...

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Main Authors: Dirk Bandorski, Ralf Jakobs, Martin Brück, Reinhard Hoeltgen, Marcus Wieczorek, Martin Keuchel
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/717408
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author Dirk Bandorski
Ralf Jakobs
Martin Brück
Reinhard Hoeltgen
Marcus Wieczorek
Martin Keuchel
author_facet Dirk Bandorski
Ralf Jakobs
Martin Brück
Reinhard Hoeltgen
Marcus Wieczorek
Martin Keuchel
author_sort Dirk Bandorski
collection DOAJ
description Background and Aims. The study was a repeated evaluation of the experience of capsule endoscopy (CE) in patients with cardiac pacemaker or implantable cardioverter defibrillator (ICD). Patients and Methods. A standardized questionnaire was sent by the manufactors Given Imaging and Olympus to all centers in Germany, Austria, and Switzerland providing capsule endoscopy service. The questionnaire covers the number of examined patients, monitoring during CE, check of the electric implants before and after CE, occurrence of arrhythmia, quality of CE video, complications, indication of CE, and type of institution. Results. Overall 580 questionnaires were sent to the users. 26/5% (Germany/Austria + Switzerland) of the questionnaires were sent back anonymously to the authors. 114 centers (82 hospitals, 11 surgeries, 21 without specification) replied. In 58 centers (51%), patients with cardiac pacemaker (n=300) and ICDs (n=80) underwent uneventful capsule endoscopy. The predominant indication (patients with CP 97%, patients with ICD 100%) was mid gastrointestinal bleeding. Conclusion. The results of our inquiry show that in spite of formal contraindication CE is increasingly applied in bleeding patients with cardiac pacemakers/ICDs and seems to be safe even in a large cohort.
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series Gastroenterology Research and Practice
spelling doaj-art-ba56f3bf1f9d47f4bad262071e2130e82025-02-03T05:59:44ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/717408717408Capsule Endoscopy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators: (Re)evaluation of the Current State in Germany, Austria, and Switzerland 2010Dirk Bandorski0Ralf Jakobs1Martin Brück2Reinhard Hoeltgen3Marcus Wieczorek4Martin Keuchel5Medizinische Klinik 2, Universitätsklinikum Gieß en, Klinikstraß e 32, 35392 Gieß en, GermanyMedizinische Klinik C, Klinikum Ludwigshafen, Bremserstraß e 79, 67063 Ludwigshafen, GermanyMedizinische Klinik 1, Klinikum Wetzlar, Forsthausstraß e 1, 35578 Wetzlar, GermanyMedizinische Klinik III, Herzzentrum Duisburg, Gerrickstraß e 21, 47137 Duisburg, GermanyMedizinische Klinik III, Herzzentrum Duisburg, Gerrickstraß e 21, 47137 Duisburg, GermanyKlinik für Innere Medizin, Bethesda Krankenhaus Bergedorf, Glindersweg 80, 21029 Hamburg, GermanyBackground and Aims. The study was a repeated evaluation of the experience of capsule endoscopy (CE) in patients with cardiac pacemaker or implantable cardioverter defibrillator (ICD). Patients and Methods. A standardized questionnaire was sent by the manufactors Given Imaging and Olympus to all centers in Germany, Austria, and Switzerland providing capsule endoscopy service. The questionnaire covers the number of examined patients, monitoring during CE, check of the electric implants before and after CE, occurrence of arrhythmia, quality of CE video, complications, indication of CE, and type of institution. Results. Overall 580 questionnaires were sent to the users. 26/5% (Germany/Austria + Switzerland) of the questionnaires were sent back anonymously to the authors. 114 centers (82 hospitals, 11 surgeries, 21 without specification) replied. In 58 centers (51%), patients with cardiac pacemaker (n=300) and ICDs (n=80) underwent uneventful capsule endoscopy. The predominant indication (patients with CP 97%, patients with ICD 100%) was mid gastrointestinal bleeding. Conclusion. The results of our inquiry show that in spite of formal contraindication CE is increasingly applied in bleeding patients with cardiac pacemakers/ICDs and seems to be safe even in a large cohort.http://dx.doi.org/10.1155/2012/717408
spellingShingle Dirk Bandorski
Ralf Jakobs
Martin Brück
Reinhard Hoeltgen
Marcus Wieczorek
Martin Keuchel
Capsule Endoscopy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators: (Re)evaluation of the Current State in Germany, Austria, and Switzerland 2010
Gastroenterology Research and Practice
title Capsule Endoscopy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators: (Re)evaluation of the Current State in Germany, Austria, and Switzerland 2010
title_full Capsule Endoscopy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators: (Re)evaluation of the Current State in Germany, Austria, and Switzerland 2010
title_fullStr Capsule Endoscopy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators: (Re)evaluation of the Current State in Germany, Austria, and Switzerland 2010
title_full_unstemmed Capsule Endoscopy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators: (Re)evaluation of the Current State in Germany, Austria, and Switzerland 2010
title_short Capsule Endoscopy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators: (Re)evaluation of the Current State in Germany, Austria, and Switzerland 2010
title_sort capsule endoscopy in patients with cardiac pacemakers and implantable cardioverter defibrillators re evaluation of the current state in germany austria and switzerland 2010
url http://dx.doi.org/10.1155/2012/717408
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