Capsule endoscopy – comparison of two strategies of bowel preparation
Summary Background: 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 sodiu...
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| Veröffentlicht in: | Alimentary pharmacology & therapeutics 2005-11, Vol.22 (10), p.957-962 |
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| container_title | Alimentary pharmacology & therapeutics |
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| creator | NIV, Y. NIV, G. WISER, K. DEMARCO, D. C. |
| description | Summary
Background: 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 water (group B). An experienced endoscopist, blinded to the method used, graded the quality of preparation according to visual capability, and to relative durations of each grade.
Results: The quality of the preparation was poor in 35% of group A compared with 4% of group B (P = 0.023). The mean duration of good preparation with excellent visualization was 122 ± 110 min in group A and 180 ± 96 min in group B (P = 0.006). Preparation with sodium phosphate and lower patient weight were significant predictive factors for good visualization.
Conclusions: Bowel preparation offers better visualization than overnight fasting alone and is associated with fewer disturbances by intraluminal turbid fluid. |
| doi_str_mv | 10.1111/j.1365-2036.2005.02647.x |
| format | Article |
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Background: 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 water (group B). An experienced endoscopist, blinded to the method used, graded the quality of preparation according to visual capability, and to relative durations of each grade.
Results: The quality of the preparation was poor in 35% of group A compared with 4% of group B (P = 0.023). The mean duration of good preparation with excellent visualization was 122 ± 110 min in group A and 180 ± 96 min in group B (P = 0.006). Preparation with sodium phosphate and lower patient weight were significant predictive factors for good visualization.
Conclusions: Bowel preparation offers better visualization than overnight fasting alone and is associated with fewer disturbances by intraluminal turbid fluid.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1111/j.1365-2036.2005.02647.x</identifier><identifier>PMID: 16268970</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Case-Control Studies ; Cathartics - administration & dosage ; Digestive system ; Endoscopes ; Endoscopy, Gastrointestinal - methods ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Intestinal Diseases - diagnosis ; Intestine, Small - pathology ; Male ; Medical sciences ; Middle Aged ; Pharmacology. Drug treatments ; Phosphates - administration & dosage ; Retrospective Studies ; Therapeutic Irrigation - methods</subject><ispartof>Alimentary pharmacology & therapeutics, 2005-11, Vol.22 (10), p.957-962</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4477-4b53fbecec46d75164c5b82fac422a66c1f6b4558315999c11800a931ab69a5f3</citedby><cites>FETCH-LOGICAL-c4477-4b53fbecec46d75164c5b82fac422a66c1f6b4558315999c11800a931ab69a5f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2036.2005.02647.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2036.2005.02647.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17234394$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16268970$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NIV, Y.</creatorcontrib><creatorcontrib>NIV, G.</creatorcontrib><creatorcontrib>WISER, K.</creatorcontrib><creatorcontrib>DEMARCO, D. C.</creatorcontrib><title>Capsule endoscopy – comparison of two strategies of bowel preparation</title><title>Alimentary pharmacology & therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Summary
Background: 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 water (group B). An experienced endoscopist, blinded to the method used, graded the quality of preparation according to visual capability, and to relative durations of each grade.
Results: The quality of the preparation was poor in 35% of group A compared with 4% of group B (P = 0.023). The mean duration of good preparation with excellent visualization was 122 ± 110 min in group A and 180 ± 96 min in group B (P = 0.006). Preparation with sodium phosphate and lower patient weight were significant predictive factors for good visualization.
Conclusions: Bowel preparation offers better visualization than overnight fasting alone and is associated with fewer disturbances by intraluminal turbid fluid.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Cathartics - administration & dosage</subject><subject>Digestive system</subject><subject>Endoscopes</subject><subject>Endoscopy, Gastrointestinal - methods</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Intestinal Diseases - diagnosis</subject><subject>Intestine, Small - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharmacology. Drug treatments</subject><subject>Phosphates - administration & dosage</subject><subject>Retrospective Studies</subject><subject>Therapeutic Irrigation - methods</subject><issn>0269-2813</issn><issn>1365-2036</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkL1OwzAURi0EoqXwCigLbAn-dzwwVBUUpEowlNlyXAelSuJgp2q78Q68IU9CQiO64uVa3z332joARAgmqDt36wQRzmIMCU8whCyBmFOR7E7A-K9xCsZdKmOcIjICFyGsIYRcQHwORohjnkoBx2A-003YlDay9coF45p99P35FRlXNdoXwdWRy6N266LQet3a98KGPsnc1pZR421H6bZw9SU4y3UZ7NVQJ-Dt8WE5e4oXL_Pn2XQRG0qFiGnGSJ5ZYw3lK8EQp4ZlKc61oRhrzg3KeUYZSwliUkqDUAqhlgTpjEvNcjIBt4e9jXcfGxtaVRXB2LLUtXWboHgqOOFcdmB6AI13IXibq8YXlfZ7haDqJaq16l2p3pXqJapfiWrXjV4Pb2yyyq6Og4O1DrgZAB2MLnOva1OEIycwoUTSjrs_cNuitPt_f0BNX5f9jfwABQmNuA</recordid><startdate>20051115</startdate><enddate>20051115</enddate><creator>NIV, Y.</creator><creator>NIV, G.</creator><creator>WISER, K.</creator><creator>DEMARCO, D. C.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051115</creationdate><title>Capsule endoscopy – comparison of two strategies of bowel preparation</title><author>NIV, Y. ; NIV, G. ; WISER, K. ; DEMARCO, D. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4477-4b53fbecec46d75164c5b82fac422a66c1f6b4558315999c11800a931ab69a5f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Cathartics - administration & dosage</topic><topic>Digestive system</topic><topic>Endoscopes</topic><topic>Endoscopy, Gastrointestinal - methods</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Intestinal Diseases - diagnosis</topic><topic>Intestine, Small - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharmacology. Drug treatments</topic><topic>Phosphates - administration & dosage</topic><topic>Retrospective Studies</topic><topic>Therapeutic Irrigation - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NIV, Y.</creatorcontrib><creatorcontrib>NIV, G.</creatorcontrib><creatorcontrib>WISER, K.</creatorcontrib><creatorcontrib>DEMARCO, D. C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Alimentary pharmacology & therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NIV, Y.</au><au>NIV, G.</au><au>WISER, K.</au><au>DEMARCO, D. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Capsule endoscopy – comparison of two strategies of bowel preparation</atitle><jtitle>Alimentary pharmacology & therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>2005-11-15</date><risdate>2005</risdate><volume>22</volume><issue>10</issue><spage>957</spage><epage>962</epage><pages>957-962</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Summary
Background: 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 water (group B). An experienced endoscopist, blinded to the method used, graded the quality of preparation according to visual capability, and to relative durations of each grade.
Results: The quality of the preparation was poor in 35% of group A compared with 4% of group B (P = 0.023). The mean duration of good preparation with excellent visualization was 122 ± 110 min in group A and 180 ± 96 min in group B (P = 0.006). Preparation with sodium phosphate and lower patient weight were significant predictive factors for good visualization.
Conclusions: Bowel preparation offers better visualization than overnight fasting alone and is associated with fewer disturbances by intraluminal turbid fluid.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>16268970</pmid><doi>10.1111/j.1365-2036.2005.02647.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; Wiley Online Library (Open Access Collection) |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Case-Control Studies Cathartics - administration & dosage Digestive system Endoscopes Endoscopy, Gastrointestinal - methods Female Gastroenterology. Liver. Pancreas. Abdomen Humans Intestinal Diseases - diagnosis Intestine, Small - pathology Male Medical sciences Middle Aged Pharmacology. Drug treatments Phosphates - administration & dosage Retrospective Studies Therapeutic Irrigation - methods |
| title | Capsule endoscopy – comparison of two strategies of bowel preparation |
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