Guidelines for Bowel Preparation before Video Capsule Endoscopy

被引:49
作者
Song, Hyun Joo [1 ]
Moon, Jeong Seop [2 ]
Do, Jae Hyuk [3 ]
Cha, In Hye [2 ]
Yang, Chang Hun [4 ]
Choi, Myung-Gyu [5 ]
Jeen, Yoon Tae [6 ]
Kim, Hyun Jung [7 ]
机构
[1] Jeju Natl Univ, Sch Med, Dept Internal Med, Jeju, South Korea
[2] Inje Univ, Coll Med, Dept Internal Med, Seoul, South Korea
[3] Chung Ang Univ, Coll Med, Dept Internal Med, Seoul, South Korea
[4] Dongguk Univ, Gyeongju Hosp, Coll Med, Dept Internal Med, Gyeongju, South Korea
[5] Catholic Univ Korea, Coll Med, Dept Internal Med, Seoul, South Korea
[6] Korea Univ, Coll Med, Dept Internal Med, Seoul, South Korea
[7] Korea Univ, Coll Med, Inst Evidence Based Med, Dept Prevent Med, Seoul, South Korea
[8] Korean Soc Gastrointestinal Endoscopy, Korean Gut Image Study Grp, Seoul, South Korea
关键词
Capsule endoscopy; Bowel preparation; Guideline;
D O I
10.5946/ce.2013.46.2.147
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The preparation for video capsule endoscopy (VCE) of the bowel suggested by manufacturers of capsule endoscopy systems consists only of a clear liquid diet and an 8-hour fast. While there is evidence for a benefit from bowel preparation for VCE, so far there is no domestic consensus on the preparation regimen in Korea. Therefore, we performed this study to recommend guidelines for bowel preparation before VCE. The guidelines on VCE were developed by the Korean Gut Image Study Group, part of the Korean Society of Gastrointestinal Endoscopy. Four key questions were selected. According to our guidelines, bowel preparation with polyethylene glycol (PEG) solution enhances small bowel visualization quality (SBVQ) and diagnostic yield (DY), but it has no effect on cecal completion rate (CR). Bowel preparation with 2 L of PEG solution is similar to that with 4 L of PEG in terms of the SBVQ, DY, and CR of VCE. Bowel preparation with fasting or PEG solution combined with simethicone enhances the SBVQ, but it does not affect the CR of VCE. Bowel preparation with prokinetics does not enhance the SBVQ, DY, or CR of VCE.
引用
收藏
页码:147 / 154
页数:8
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