MR1: ESGE recommends small-bowel capsule endoscopy as the first-line examination, before consideration of other endoscopic and radiological diagnostic tests for suspected small-bowel bleeding, given the excellent safety profile of capsule endoscopy, its patient tolerability, and its potential to visualize the entire small-bowel mucosa.Strong recommendation, moderate quality evidence. MR2: ESGE recommends small-bowel capsule endoscopy in patients with overt suspected small-bowel bleeding as soon as possible after the bleeding episode, ideally within 48 hours, to maximize the diagnostic and subsequent therapeutic yield.Strong recommendation, high quality evidence. MR3: ESGE does not recommend routine second-look endoscopy prior to small-bowel capsule endoscopy in patients with suspected small-bowel bleeding or iron-deficiency anemia.Strong recommendation, low quality evidence. MR4: ESGE recommends conservative management in those patients with suspected small-bowel bleeding and high quality negative small-bowel capsule endoscopy.Strong recommendation, moderate quality evidence. MR5: ESGE recommends device-assisted enteroscopy to confirm and possibly treat lesions identified by small-bowel capsule endoscopy.Strong recommendation, high quality evidence. MR6: ESGE recommends the performance of small-bowel capsule endoscopy as a first-line examination in patients with iron-deficiency anemia when small bowel evaluation is indicated.Strong recommendation, high quality evidence. MR7: ESGE recommends small-bowel capsule endoscopy in patients with suspected Crohn's disease and negative ileocolonoscopy findings as the initial diagnostic modality for investigating the small bowel, in the absence of obstructive symptoms or known bowel stenosis.Strong recommendation, high quality evidence. MR8: ESGE recommends, in patients with unremarkable or nondiagnostic findings from dedicated small-bowel cross-sectional imaging, small-bowel capsule endoscopy as a subsequent investigation if deemed likely to influence patient management.Strong recommendation, low quality evidence. MR9: ESGE recommends, in patients with established Crohn's disease, the use of a patency capsule before small-bowel capsule endoscopy to decrease the capsule retention rate.Strong recommendation, moderate quality evidence. MR10: ESGE recommends device-assisted enteroscopy (DAE) as an alternative to surgery for foreign bodies retained in the small bowel requiring retrieval in patients without acute intestinal obstruction.Strong recommendation, moderate quality evidence. MR11: ESGE recommends DAE-endoscopic retrograde cholangiopancreatography (DAE-ERCP) as a first-line endoscopic approach to treat pancreaticobiliary diseases in patients with surgically altered anatomy (except for Billroth II patients).Strong recommendation, moderate quality evidence.

2nd Department of Internal Medicine Gastroenterology and Geriatrics University Hospital Olomouc Faculty of Medicine and Dentistry Palacky University Olomouc Olomouc Czech Republic

2nd Department of Internal Medicine Gastroenterology University Hospital Hradec Králové Charles University Faculty of Medicine in Hradec Králové Czech Republic

Academic Department of Gastroenterology and Hepatology Sheffield Teaching Hospitals Sheffield United Kingdom

Army Share Fund Hospital Athens Greece

Centre for Clinical Implementation of Capsule Endoscopy Store Adenomer Tidlige Cancere Center Svendborg University of Southern Denmark Denmark

Clinic for Internal Medicine Agaplesion Bethesda Krankenhaus Bergedorf Hamburg Germany

Department of Gastroenterology and Digestive Endoscopy Masaryk Memorial Cancer Institute Brno Czech Republic

Department of Gastroenterology Georges Pompidou European Hospital Paris France

Department of Gastroenterology Hospital da Senhora da Oliveira Guimarães Portugal

Department of Gastroenterology University of Navarre Clinic Healthcare Research Institute of Navarre Pamplona Spain

Department of Infection Immunity and Cardiovascular Diseases University of Sheffield United Kingdom

Department of Medicine 1 University Medical Center Mainz Mainz Germany

Department of Surgery University Hospital Brno Faculty of Medicine Masaryk University Brno Czech Republic

Digestive Endoscopy Unit and Gastroenterology Fondazione Poliambulanza Brescia Italy

Division of Gastroenterology and Hepatology University Hospital Saint Luc Brussels Belgium

Gastroenterology and Endoscopy Unit Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy

Gastroenterology and Endoscopy Unit Hospices Civils de Lyon Hôpital E Herriot Lyon France

Gastroenterology and Endoscopy Unit University Hospital of Parma University of Parma Parma Italy

Gastroenterology Department ICMDiM Hospital Clínic of Barcelona DIBAPS CiBERHED Barcelona Spain

Gastroenterology Unit Valduce Hospital Como Italy

Hepatogastroenterology Unit 2nd Department of Internal Medicine Propaedeutic Research Institute and Diabetes Center Medical School National and Kapodistrian University of Athens Attikon University General Hospital Athens Greece

ICVS 3B's PT Government Associate Laboratory Braga Guimarães Portugal

IRCCS Azienda Ospedaliero Universitaria di Bologna Department of Medical and Surgical Sciences Gastroenterology Unit University of Bologna Bologna Italy

Life and Health Sciences Research Institute School of Medicine University of Minho Braga Guimarães Portugal

Royal Free Unit for Endoscopy The Royal Free Hospital and UCL Institute for Liver and Digestive Health London UK

Sección de Aparato Digestivo Area 6 Hospital Morales Meseguer Murcia Spain

Sheffield Teaching Hospitals NHS Foundation Trust Gastroenterology Sheffield Sheffield UK

Sorbonne University Endoscopy Unit AP HP Hôpital Saint Antoine Paris France

TAGG Research Centre Department of Clinical Medicine Trinity Centre Tallaght Hospital Dublin Ireland

Università Cattolica del Sacro Cuore Rome Italy

University Division of Gastroenterology City of Health and Science University Hospital University of Turin Turin Italy

Citace poskytuje Crossref.org