Capsule endoscopy – comparison of two strategies of bowel preparation

Abstract

SUMMARYBackground: Capsule endoscopy can identify lesions of the small bowel that cannot be detected by other techniques. In addition to patient safety, quality of care and cost-efficiency, good preparation is an important factor for good visualization. Aim: To evaluate the efficacy of oral sodium phosphate preparation. Methods: Forty-six consecutive patients scheduled for capsule endoscopy in two medical centres. The patients treated in Dallas were prepared by 12 h fasting (group A), and those treated in Israel were also asked to drink 45 mL of sodium phosphate with

Inpatient Capsule Endoscopy Leads to Frequent Incomplete Small Bowel Examinations

“…The results of the studies which investigated the effect of bowel preparation on CECR were not consistent with each other [15][16][17][18][19][20][21][22] , but improved image quality has been reported. Previous studies also investigated the role of endoscopic placement of capsule and/ or real-time viewing and showed that these approaches can improve CECR [23][24][25][26] .…”

Evaluation of Different Bowel Preparations for Small Bowel Capsule Endoscopy: A Prospective, Randomized, Controlled Study

“…Preliminary results have already been published by our group [6]. Although similar studies exist (Table 6), none of the three abovementioned preparations have been compared in a randomized way, and have only been analysed in short series [5,7,8] or retrospectively [8]. A review of the related literature by Franchis et al [3] highlights the fact that studies published about this subject are scarce and provide inconsistent results.…”

“…No effect on the gastric or intestinal transit of the CE was detected, though a higher level of cleanliness was observed in the patients who had received PEG, among whom there was a statistically significant improvement of the diagnostic yield. Niv et al [8] published an analysis of the use of ASP in 46 versus 23 patients whose bowel preparation consisted solely of overnight fasting. The authors recommended preparation with ASP after observing a higher level of cleanliness.…”

Wireless Capsule Endoscopy in Pediatric Gastrointestinal Diseases

“…Some abnormalities such as angiodysplasias are sometimes hampered by residual intestinal contents. Thus, a bowel preparation is studied previously, and sodium phosphate (Niv, 2005) or polyethylene glycol (PEG) (Viazis, 2004;Dai, 2005) has been described to offer improved visualization of the small intestine in adults.…”