PMID- 37842961 OWN - NLM STAT- MEDLINE DCOM- 20240215 LR - 20240215 IS - 1440-1746 (Electronic) IS - 0815-9319 (Linking) VI - 39 IP - 2 DP - 2024 Feb TI - Nationwide multicenter study on adverse events associated with a patency capsule: Additional survey of appropriate use of patency capsule study. PG - 337-345 LID - 10.1111/jgh.16365 [doi] AB - BACKGROUND AND AIM: The PillCam patency capsule (PC) without a radio frequency identification tag was released to preclude retention of the small bowel capsule endoscope (CE) in Japan in 2012. We conducted a multicenter study to determine tag-less PC-related adverse events (AEs). METHODS: We first conducted a retrospective survey using a standardized data collection sheet for the clinical characteristics of PC-related AEs among 1096 patients collected in a prospective survey conducted between January 2013 and May 2014 (Cohort 1). Next, we retrospectively investigated additional AEs that occurred before and after Cohort 1 within the period June 2012 and December 2014 among 1482 patients (Cohort 2). RESULTS: Of the 2578 patients who underwent PC examinations from both cohorts, 74 AEs occurred among 61 patients (2.37%). The main AEs were residual parylene coating in 25 events (0.97%), PC-induced small bowel obstruction, suspicious of impaction, in 23 events (0.89%), and CE retention even after patency confirmation in 10 events (0.39%). Residual parylene coating was significantly associated with Crohn's disease (P < 0.01). Small bowel obstruction was significantly associated with physicians with less than 1 year of experience handling the PC and previous history of postprandial abdominal pain (P < 0.01 and P < 0.03, respectively). CE retention was ascribed to erroneous judgment of PC localization in all cases. CONCLUSIONS: This large-scale multicenter study provides evidence supporting the safety and efficiency of a PC to preclude CE retention. Accurate PC localization in patients without excretion and confirmation of previous history of postprandial abdominal pain before PC examinations is warranted (UMIN000010513). CI - (c) 2023 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. FAU - Omori, Teppei AU - Omori T AUID- ORCID: 0000-0002-9959-5168 AD - Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan. FAU - Ohmiya, Naoki AU - Ohmiya N AUID- ORCID: 0000-0002-7651-402X AD - Department of Advanced Endoscopy, Fujita Health University School of Medicine, Toyoake, Japan. FAU - Watanabe, Kenji AU - Watanabe K AD - Department of Internal Medicine for Inflammatory Bowel Disease, Toyama University, Toyama, Japan. FAU - Hirai, Fumihito AU - Hirai F AD - Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, Fukuoka, Japan. FAU - Nakamura, Masanao AU - Nakamura M AUID- ORCID: 0000-0002-5444-143X AD - Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kitamura, Kazuya AU - Kitamura K AD - Department of Gastroenterology, Tonami General Hospital, Toyama, Japan. FAU - Ozeki, Keiji AU - Ozeki K AD - Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. FAU - Oka, Shiro AU - Oka S AUID- ORCID: 0000-0002-1652-0743 AD - Department of Gastroenterology, Hiroshima University, Hiroshima, Japan. FAU - Kawano, Seiji AU - Kawano S AD - Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan. FAU - Handa, Osamu AU - Handa O AD - Depatment of Gastroenterology, Kawasaki Medical School, Okayama, Japan. FAU - Kawai, Mikio AU - Kawai M AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, Hyogo Medical University, Nishinomiya, Japan. FAU - Ninomiya, Kazeo AU - Ninomiya K AD - Ninomiya Internal Medicine Clinic, Saga, Japan. FAU - Sagawa, Tamotsu AU - Sagawa T AD - Department of Gastroenterology, Hokkaido Cancer Center, Sapporo, Japan. FAU - Wakamatsu, Takahiro AU - Wakamatsu T AD - Wakamatsu Clinic, Osaka, Japan. AD - Department of Gastroenterology and Hepatology, Kansai Medical University, Osaka, Japan. FAU - Araki, Akihiro AU - Araki A AD - Health Management Center, Toranomon Hospital, Tokyo, Japan. FAU - Koike, Yuji AU - Koike Y AD - Department of Gastroenterology, Yokohama Municipal Citizen's Hospital, Yokohama, Japan. FAU - Kato, Shingo AU - Kato S AUID- ORCID: 0000-0002-9030-0474 AD - Department of Gastroenterology and Hepatology, Saitama Medical Center, Saitama Medical University, Saitama, Japan. FAU - Hashimoto, Shinichi AU - Hashimoto S AD - Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan. FAU - Mannami, Tomohiko AU - Mannami T AUID- ORCID: 0000-0002-8564-5080 AD - Department of Gastroenterology, National Hospital Organization Okayama Medical Center, Okayama, Japan. AD - Department of Internal Medicine, Chugoku Central Hospital, Hiroshima, Japan. FAU - Nakaji, Konosuke AU - Nakaji K AD - Endoscopy Center, Aishinkai Nakae Hospital, Wakayama, Japan. FAU - Tanaka, Shinji AU - Tanaka S AD - Department of Endoscopy and Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Matsui, Toshiyuki AU - Matsui T AD - Fukuoka University, Fukuoka, Japan. CN - J-POP study group LA - eng PT - Journal Article PT - Multicenter Study DEP - 20231016 PL - Australia TA - J Gastroenterol Hepatol JT - Journal of gastroenterology and hepatology JID - 8607909 RN - 25722-33-2 (parylene) RN - 0 (Polymers) RN - 0 (Xylenes) SB - IM MH - Humans MH - Retrospective Studies MH - *Capsule Endoscopy/adverse effects MH - Prospective Studies MH - *Intestinal Obstruction/epidemiology/etiology MH - Abdominal Pain/etiology MH - *Polymers MH - *Xylenes OTO - NOTNLM OT - PillCam patency capsule OT - adverse event OT - parylene coating OT - retention OT - tag-less patency capsule FIR - Abe, Takashi IR - Abe T IRAD- Department of Gastroenterology, Hanwa Sumiyoshi General Hospital, Osaka, Japan. FIR - Bamba, Shigeki IR - Bamba S IRAD- Division of Endoscopy, Shiga University of Medical Science, Otsu, Japan. FIR - Esaki, Motohiro IR - Esaki M IRAD- Department of Gastroenterology, Saga University Hospital, Saga, Japan. FIR - Hayashida, Mari IR - Hayashida M IRAD- Department of Gastroenterology, Kyorin University Hospital, Tokyo, Japan. FIR - Hasegawa, Daisuke IR - Hasegawa D IRAD- Department of Gastroenterology, Ayabe City Hospital, Kyoto, Japan. FIR - Higaki, Shingo IR - Higaki S IRAD- Department of Gastroenterology, St. Hill Hospital, Yamaguchi, Japan. FIR - Hiramoto, Tomoki IR - Hiramoto T IRAD- Department of Endoscopy, Hiroshima Prefectural Hospital, Hiroshima, Japan. FIR - Hodo, Yuji IR - Hodo Y IRAD- Department of Gastroenterology, Saiseikai Kanazawa Hospital, Kanazawa, Japan. FIR - Iwamoto, Maho IR - Iwamoto M IRAD- Division of Gastroenterology and Hepatology, Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan. FIR - Kanayama, Kenji IR - Kanayama K IRAD- Department of Gastroenterology, Sasaguri Hospital, Fukuoka, Japan. FIR - Katsurahara, Masaki IR - Katsurahara M IRAD- Department of Endoscopic Medicine, Mie University Graduate School of Medicine, Tsu, Japan. FIR - Kojima, Yuichi IR - Kojima Y IRAD- Division of Internal Medicine, Hanwa Sumiyoshi General Hospital, Osaka, Japan. FIR - Mizukami, Kazuhiro IR - Mizukami K IRAD- Department of Gastroenterology, Oita University, Oita, Japan. FIR - Naganuma, Makoto IR - Naganuma M IRAD- Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan. FIR - Nagasaka, Mitsuo IR - Nagasaka M IRAD- Department of Gastroenterology, Fujita Health University School of Medicine, Toyoake, Japan. FIR - Nishiyama, Ryu IR - Nishiyama R IRAD- Department of Gastroenterology, Hiratsuka Kyosai Hospital, Hiratsuka, Japan. FIR - Nouda, Sadaharu IR - Nouda S IRAD- Second Department of Internal Medicine, Osaka Medical College, Osaka, Japan. FIR - Osawa, Satoshi IR - Osawa S IRAD- Department of Endoscopic and Photodynamic Medicine, Hamamatsu University School of Medicine, Shizuoka, Japan. FIR - Sameshima, Yukinori IR - Sameshima Y IRAD- Sameshima Hospital, Kagoshima, Japan. FIR - Shibatoge, Mitsushige IR - Shibatoge M IRAD- Department of Gastroenterology and Hepatology, Takamatsu Red Cross Hospital, Takamatsu, Japan. FIR - Shiotani, Akiko IR - Shiotani A IRAD- Department of Internal Medicine, Division of Gastroenterology, Kawasaki Medical School, Okayama, Japan. FIR - Suga, Tomoaki IR - Suga T IRAD- Department of Gastroenterology, Japanese Red Cross Suwa Hospital, Nagano, Japan. FIR - Tokuhara, Daisuke IR - Tokuhara D IRAD- Department of Pediatrics, Wakayama Medical University, Wakayama, Japan. FIR - Ueno, Erina IR - Ueno E IRAD- Department of Gastroenterology, St. Mary's Hospital, Fukuoka, Japan. EDAT- 2023/10/16 12:41 MHDA- 2024/02/15 06:43 CRDT- 2023/10/16 07:13 PHST- 2023/08/21 00:00 [revised] PHST- 2023/06/09 00:00 [received] PHST- 2023/09/10 00:00 [accepted] PHST- 2024/02/15 06:43 [medline] PHST- 2023/10/16 12:41 [pubmed] PHST- 2023/10/16 07:13 [entrez] AID - 10.1111/jgh.16365 [doi] PST - ppublish SO - J Gastroenterol Hepatol. 2024 Feb;39(2):337-345. doi: 10.1111/jgh.16365. Epub 2023 Oct 16.