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DOI: 10.1055/s-0032-1312390
Small bowel capsule endoscopy structured terminology
Introduction and aim: The Capsule Endoscopy Structured Terminology (CEST) has been developed following the rules established for Minimal Standard Terminology (MST) and adapted to the specific needs for the reporting of findings and diagnosis in capsule endoscopy (CE) findings. This presentation provides an overview and examples of the use of the CEST for reporting small bowel CE examination.
Structured documentation of an examination and findings: The CE examination report follows the general MST structure for endoscopic reporting. The following headings are used for the structured description of findings in the small bowel: normal, lumen, contents, mucosa, flat lesions, protruding lesions, excavated lesions.
Main headings of findings |
Terms of findings |
||||
Mucosa |
Erythema |
Pale |
Edematous |
Granular |
Nodular |
Flat lesions |
Spot |
Plaque |
Angiectasia |
||
Excavated lesions |
Aphta |
Erosion |
Ulcer |
Diverticulum |
|
Protruding lesions |
Nodules |
Polyps |
Tumor |
Venous structure |
The list of diagnosis, as proposed by the CEST, is divided into two lists of terms, the main diagnosis and other diagnosis being classified according to their frequency in clinical practice.
Conclusion: The CEST supports the structured reporting of all data necessary for a CE examination, including pathological findings.