Upper Gastrointestinal Tract Video Capsule as an Alternative to Oesophago-Gastro-Duodenoscopy in Clinical Practice

Introduction. Upper gastrointestinal (UGI) video capsule endoscopy (VCE) provides a possible alternative to conventional oesophago-gastro-duodenoscopy (OGD). In Ireland, the COVID-19 pandemic led unprecedented change in services, accelerating need for UGI VCE help reduce patient exposure but allow continuation of services. We report on using as an OGD throughout all phases COVID-related adjustments. Aims/Background. Prospective observational study assess identification relevant anatomical landmarks defined British Society Gastroenterology. Method. Inclusion criteria were: patients with dyspepsia under 40 years age no alarm symptoms; known cirrhosis variceal screening; bleeds Blatchford score ≤ 2 . A protocol preparation and series positional movements were adapted procedure. Landmarks pathology detection evaluated by two independent endoscopists. Results. 127 was performed from June 2020 December 2021, which 22 required further evaluation OGD. The most common indications abdominal pain, 71% 19%, respectively. With use dual-facing camera, clear views OGJ 100% cases, cardia 100%, fundus 97%, greater curve 99%, lesser 98%, incisura angularis 95%, antrum pylorus 94%, D1/bulb 83%, D2 82% obtained. main findings at reflux oesophagitis gastritis, normal mucosa observed 48% cases. Findings suggesting neoplastic lesion OG junction detected 1 case. Conclusion. Since 2020, 81% ( id="M2"> N = 103 ) selected cohort referred avoided invasive traditional successfully managed VCE, thus reducing waiting lists. may serve clinical diagnostic tool, used alongside appropriate improve services care delivery.