Not taking enough time and care with the capsule reading and reporting
Capsule reading is time consuming, with a mean reading time of 45–60 min.15,24 Based on experience, it is highly recommended to read the video in a single nonstop session. Indeed, we suggest using the preview–review–report method to minimize misreading, both for small-bowel and colon capsule readings.
During the preview phase, anatomical landmarks should be determined, while all abnormalities should be selected in the review phase. For the colon capsule keep in mind to select two or more images of any polyp and measure them at least two times in the same frame, and in different frames as well. The ESGE recommends a maximum reading speed of 10 (less in the proximal small bowel) for small-bowel capsules.19
Multiframe reading may be acceptable for small-bowel capsules in conditions affecting the small-bowel mucosa diffusely,19 while colon capsule readings should be performed with one camera (green or yellow) in single view mode, followed by the other camera, as polyps may appear in only one of the cameras. This recommendation is based on accumulated experience.
Data on reporting is scarce, however the ESGE recommends including information on the bowel preparation used and the quality of the bowel preparation, the completion/extent of examination, clinical findings and the use of validated indexes (such as the Lewis score for inflammatory activity), and a final recommendation for the referring physician as well.19
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