Small Bowel Capsule Endoscopy within 6 Hours following Bowel Preparation with Polyethylene Glycol Shows Improved Small Bowel Visibility

被引:6
作者
Choi, Chang Wan [1 ]
Lee, So Jung [1 ]
Hong, Sung Noh [1 ]
Kim, Eun Ran [1 ]
Chang, Dong Kyung [1 ]
Kim, Young-Ho [1 ]
Lim, Yun Jeong [2 ]
Shim, Ki-Nam [3 ]
Lee, Hyun-Seok [4 ]
机构
[1] Sungkyunkwan Univ, Samsung Med Ctr, Sch Med, Dept Med, Seoul 60351, South Korea
[2] Dongguk Univ, Sch Med, Ilsan Hosp, Dept Internal Med, Goyang 10326, South Korea
[3] Ewha Womans Univ, Sch Med, Dept Internal Med, Seoul 07804, South Korea
[4] Kyungpook Natl Univ, Med Ctr, Sch Med, Dept Internal Med, Daegu 37224, South Korea
基金
新加坡国家研究基金会;
关键词
small bowel capsule endoscopy; bowel preparation; polyethylene glycol; small bowel visibility quality; QUALITY; METAANALYSIS; COLONOSCOPY; SIMETHICONE; SOCIETY; DIET;
D O I
10.3390/diagnostics13030469
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Although bowel preparation influences small bowel visibility for small bowel capsule endoscopy (SBCE), the optimal timing for bowel preparation has not been established yet. Thus, the aim of the study was to evaluate the optimal timing of polyethylene glycol (PEG) for small bowel preparation before SBCE. This multicenter prospective observational study was conducted on patients who underwent SBCE following bowel preparation with polyethylene glycol (PEG). Patients were categorized into three groups according to the time used for completing PEG ingestion: group A, within 6 h; group B, 6-12 h; and group C, over 12 h. The percentage of unclean segment in small bowel (unclean image duration / small bowel transit time x 100) and small bowel visibility quality (SBVQ) were evaluated according to the time interval between the last ingestion of PEG and swallowing of small bowel capsule endoscope. A total of 90 patients were enrolled and categorized into group A (n = 40), group B (n = 27), and group C (n = 23). The percentage of unclean segment in the entire small bowel increased gradually from group A to C (6.6 +/- 7.6% in group A, 11.3 +/- 11.8% in group B, and 16.2 +/- 10.7% in group C, p = 0.001), especially in the distal small bowel (11.4 +/- 13.6% in group A, 20.7 +/- 18.7% in group B, and 29.5 +/- 16.4% in group C, p < 0.001). The proportion of patients with adequate SBVQ in group A was significantly (p < 0.001) higher (30/40, 75.0%) than that in group B (17/27, 63.0%) or group C (5/23, 21.7%). In multivariate analysis, group A was associated with an increased likelihood of adequate SBVQ compared with group C (odds ratio [OR]: 13.05; 95% confidence interval [CI]: 3.53-48.30, p < 0.001). Completing PEG ingestion within 6 h prior to SBCE could enhance small bowel visibility.
引用
收藏
页数:13
相关论文
共 36 条
[1]   A novel purgative protocol for capsule endoscopy of the small bowel produces better quality of visibility than 2 l of PEG: Timing is of the essence [J].
Adler, Samuel N. ;
Farkash, Shai ;
Sompolinsky, Yishai ;
Gafanovich, Inna ;
Goldin, Eran ;
Bar-Gil Shitrit, Ariella .
UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, 2017, 5 (04) :485-490
[2]   Meta-analysis: efficacy of small bowel preparation for small bowel video capsule endoscopy [J].
Belsey, Jonathan ;
Crosta, Cristiano ;
Epstein, Owen ;
Fischbach, Wolfgang ;
Layer, Peter ;
Parente, Fabrizio ;
Halphen, Marc .
CURRENT MEDICAL RESEARCH AND OPINION, 2012, 28 (12) :1883-1890
[3]  
Calin C., 2009, ENDOSCOPY, V59, P3
[4]   Ingesting 500 ml of Polyethylene Glycol Solution During Capsule Endoscopy Improves the Image Quality and Completion Rate to the Cecum [J].
Endo, Hiroki ;
Kondo, Yasuyuki ;
Inamori, Masahiko ;
Ohya, Tomohiko R. ;
Yanagawa, Tatsuro ;
Asayama, Masako ;
Hisatomi, Kantaro ;
Teratani, Takuma ;
Yoneda, Masato ;
Nakajima, Atsushi ;
Matsuhashi, Nobuyuki .
DIGESTIVE DISEASES AND SCIENCES, 2008, 53 (12) :3201-3205
[5]   Prospective evaluation of small bowel preparation with bisacodyl and sodium phosphate for capsule endoscopy [J].
Franke, Andreas ;
Hummel, Frank ;
Knebel, Phillip ;
Antoni, Christoph ;
Boecker, Ulrich ;
Singer, Manfred V. ;
Loehr, Matthias .
WORLD JOURNAL OF GASTROENTEROLOGY, 2008, 14 (13) :2061-2064
[6]   Wireless capsule endoscopy [J].
Ginsberg, GG ;
Barkun, AN ;
Bosco, JJ ;
Isenberg, GA ;
Nguyen, CC ;
Petersen, BT ;
Silverman, WB ;
Slivka, A ;
Taitelbaum, G .
GASTROINTESTINAL ENDOSCOPY, 2002, 56 (05) :621-624
[7]   Meta-analysis of randomized controlled trials challenging the usefulness of purgative preparation before small-bowel video capsule endoscopy [J].
Gkolfakis, Paraskevas ;
Tziatzios, Georgios ;
Dimitriadis, George D. ;
Triantafyllou, Konstantinos .
ENDOSCOPY, 2018, 50 (07) :671-683
[8]   Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline [J].
Hassan, C. ;
Bretthauer, M. ;
Kaminski, M. F. ;
Polkowski, M. ;
Rembacken, B. ;
Saunders, B. ;
Benamouzig, R. ;
Holme, O. ;
Green, S. ;
Kuiper, T. ;
Marmo, R. ;
Omar, M. ;
Petruzziello, L. ;
Spada, C. ;
Zullo, A. ;
Dumonceau, J. M. .
ENDOSCOPY, 2013, 45 (02) :142-150
[9]   Lack of benefit of active preparation compared with a clear fluid-only diet in small-bowel visualization for video capsule endoscopy: results of a randomized, blinded, controlled trial [J].
Hookey, Lawrence ;
Louw, Jacob ;
Wiepjes, Michelle ;
Rubinger, Natalie ;
Van Weyenberg, Stijn ;
Day, Andrew G. ;
Paterson, William .
GASTROINTESTINAL ENDOSCOPY, 2017, 85 (01) :187-193
[10]   Wireless capsule endoscopy [J].
Iddan, G ;
Meron, G ;
Glukhovsky, A ;
Swain, P .
NATURE, 2000, 405 (6785) :417-417