Back to Search
Start Over
Bowel preparation for small bowel capsule endoscopy – The later, the better!
- Source :
- Digestive & Liver Disease; Oct2019, Vol. 51 Issue 10, p1388-1391, 4p
- Publication Year :
- 2019
-
Abstract
- In small bowel capsule endoscopy (SBCE), the presence of residue may compromise diagnostic accuracy. To assess differences in quality of visualisation and diagnostic yield of SBCE using 3 different preparation protocols. Prospective, randomized, blind, pilot study. Protocol A:Clear liquids diet the day before the examination with fasting from 8p.m.; Protocol B:Protocol A + 2 pouches of Moviprep<superscript>®</superscript>(polyethylene glycol electrolyte solution + sodium ascorbate) in 1 L of water from 8p.m. of the day before the examination; Protocol C: Protocol A + 2 pouches of Moviprep<superscript>®</superscript> in 1 L of water consumed after real-time confirmation of capsule arrival at small bowel. Small bowel preparation was classified by two experienced physicians, considering the percentage of the examination during which mucosal observation was adequate: Excellent(>90%); Good(90–75%); Fair(75–50%); Poor(<50%). 101 patients randomized to the 3 protocols (A 37, B 31, C 33 patients). Protocol C had an excellent/good small bowel preparation in a higher percentage of examinations for both readers(Reader 1-A:37.8% vs B:45.2% vs C:78.8%, p = 0.002 and Reader 2 –A:37.8% vs B:41.9% vs C:75.8%, p = 0.003). Also, protocol C had a higher detection of angioectasia (A:5.4% vs B:9.7% vs C:27.3%, p = 0.022). The administration of Moviprep<superscript>®</superscript> after the capsule had reached the small bowel was associated with a better small bowel preparation and a higher detection of angioectasia. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 15908658
- Volume :
- 51
- Issue :
- 10
- Database :
- Supplemental Index
- Journal :
- Digestive & Liver Disease
- Publication Type :
- Academic Journal
- Accession number :
- 138793540
- Full Text :
- https://doi.org/10.1016/j.dld.2019.04.014