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Gastroenterology Research and Practice
Volume 2012, Article ID 717408, 4 pages
http://dx.doi.org/10.1155/2012/717408
Clinical Study

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

1Medizinische Klinik 2, Universitätsklinikum Gieß en, Klinikstraß e 32, 35392 Gieß en, Germany
2Herz-/Kreislaufzentrum Rotenburg, Heinz-Meise-Straß e 100, 36199 Rotenburg, Germany
3Medizinische Klinik C, Klinikum Ludwigshafen, Bremserstraß e 79, 67063 Ludwigshafen, Germany
4Medizinische Klinik 1, Klinikum Wetzlar, Forsthausstraß e 1, 35578 Wetzlar, Germany
5Medizinische Klinik III, Herzzentrum Duisburg, Gerrickstraß e 21, 47137 Duisburg, Germany
6Klinik für Innere Medizin, Bethesda Krankenhaus Bergedorf, Glindersweg 80, 21029 Hamburg, Germany

Received 15 August 2011; Accepted 11 November 2011

Academic Editor: Cristiano Spada

Copyright © 2012 Dirk Bandorski et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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 ( ) and ICDs ( ) 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.