One-day versus two-day cleansing for colon capsule endoscopy: a prospective randomized pilot study

被引:15
|
作者
Ramos, Laura [1 ]
Alarcon, Onofre [1 ]
Adrian, Zaida [1 ]
Gimeno-Garcia, Antonio Z. [1 ]
Nicolas-Perez, David [1 ]
Jimenez-Sosa, Alejandro [2 ]
Quintero, Enrique [1 ]
机构
[1] Univ La Laguna, Fac Med, Hosp Univ Canarias, Dept Gastroenterol, Tenerife, Spain
[2] Hosp Univ Canarias, Res Unit, San Cristobal la Laguna, Spain
来源
GASTROENTEROLOGIA Y HEPATOLOGIA | 2014年 / 37卷 / 03期
关键词
Colon capsule endoscopy; Colonic cleansing; BOWEL PREPARATION; GASTROINTESTINAL-ENDOSCOPY; COLONOSCOPY; MULTICENTER; QUALITY; SOCIETY;
D O I
10.1016/j.gastrohep.2013.10.010
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: Standard bowel cleansing for colon capsule endoscopy (CCE) requires a liquid diet and bowel laxatives for at least 2 days, which is a major drawback of this procedure and affects tolerance and acceptability. Objective: To compare the quality of colon cleanliness achieved with one-day versus two-day bowel preparation in outpatients undergoing CCE. Methods: Patients were randomly assigned to one of two groups: group I (one-day schedule, n = 20) received a fiber-free diet and 3 L of polyethylene glycol (PEG) on day 0; group II (two-day schedule, n = 20) received a liquid diet and 3 L of PEG in the evening of day -1, and 1 L of PEG in the early morning of day 0. In both groups, the patients received 15 mg bisacodyl on day -1 and one or two additional sodium phosphate (NaP) boosters following capsule ingestion. Each colon segment was assessed for cleanliness using a four-point grading scale (excellent = 1, good = 2, fair = 3, and poor = 4). For the final analysis, colon cleanliness was rated as adequate (good or excellent) or inadequate (fair or poor). Results: Overall colon cleanliness was adequate in 94% (CI 91-97) of patients in group I versus 80% (CI 72-88) in group II (P = 0.27). No significant differences were observed in the per-segment quality of colon cleansing between the two groups. CCE reached the rectum in 80% (CI 73-87) of patients in group I versus 75% (CI 67-83) in group II (p = 0.59). Conclusion: The quality of colon cleanliness achieved with one-day bowel preparation is equivalent to that of the standard two-day schedule in patients undergoing CCE. (c) 2013 Elsevier Espana, S.L. and AEEH y AEG. All rights reserved.
引用
收藏
页码:101 / 106
页数:6
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