Kosin Med J.  2024 Sep;39(3):179-185. 10.7180/kmj.24.116.

Capsule endoscopy in Kazakhstan: a multicenter clinical experience

• Sohn SJ
• Batyrbekov K
• Galiakbarova A
• Yerdaliyeva L
• Kaibullayeva J
• Ju J
• Lee H
• Lee YJ

• KMID: 2559405
• DOI: http://doi.org/10.7180/kmj.24.116

Abstract

Background
By analyzing small bowel capsule endoscopy (SBCE) performed in two large hospitals in Kazakhstan, we aimed to explore the characteristics of patients representative of Central Asia and the technical characteristics of SBCE.
Methods
SBCE cases were retrospectively analyzed. A descriptive analysis was conducted on the patients’ demographic data, diagnosis, and clinical symptoms. The results of SBCE, such as the lesions found, transit time and retention rate in the stomach and small bowel, and bowel visualization quality, were analyzed. Complications related to SBCE were investigated.
Results
SBCE was performed in 123 patients. Abdominal pain (81.3%) and chronic diarrhea (66.7%) were the most common symptoms, followed by weight loss (25.2%) and gastrointestinal bleeding (15.4%). The most common disease was Crohn’s disease (52.0%). Definite lesions, such as ulcers, polyps, and bleeding, were identified in 55.3% of patients. SBCE was successfully completed in all cases except for 11 (9.1%). The average small bowel transit time was 4 hours and 28 minutes. Excellent visualization (>75% of mucosa) was reported in 82.5% of patients. No patients experienced complications.
Conclusions
SBCE performed in Kazakhstan showed a high diagnostic yield with high-quality patient selection and no complications.

Keyword

Artificial intelligence; Capsule endoscopy; Clinical experience; Kazakhstan

Figure

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  Fig. 1. Age distribution and number of patients who underwent capsule endoscopy in Kazakhstan.

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  Fig. 2. Typical lesions found in small bowel capsule endoscopy performed in Kazakhstan. CD, Crohn’s disease.

Reference

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