Optimal Bowel Preparation for Video Capsule Endoscopy

Hyun Joo Song, Jeong Seop Moon, Ki-Nam Shim, Hyun Joo Song, Jeong Seop Moon, Ki-Nam Shim

Abstract

During video capsule endoscopy (VCE), several factors, such as air bubbles, food material in the small bowel, and delayed gastric and small bowel transit time, influence diagnostic yield, small bowel visualization quality, and cecal completion rate. Therefore, bowel preparation before VCE is as essential as bowel preparation before colonoscopy. To date, there have been many comparative studies, consensus, and guidelines regarding different kinds of bowel cleansing agents in bowel preparation for small bowel VCE. Presently, polyethylene glycol- (PEG-) based regimens are given primary recommendation. Sodium picosulphate-based regimens are secondarily recommended, as their cleansing efficacy is less than that of PEG-based regimens. Sodium phosphate as well as complementary simethicone and prokinetics use are considered. In this paper, we reviewed previous studies regarding bowel preparation for small bowel VCE and suggested optimal bowel preparation of VCE.

References

    1. Rokkas T., Papaxoinis K., Triantafyllou K., Pistiolas D., Ladas S. D. Does purgative preparation influence the diagnostic yield of small bowel video capsule endoscopy?: a meta-analysis. American Journal of Gastroenterology. 2009;104(1):219–227. doi: 10.1038/ajg.2008.63.
    1. Ladas S. D., Triantafyllou K., Spada C., et al. European Society of Gastrointestinal Endoscopy (ESGE): recommendations (2009) on clinical use of video capsule endoscopy to investigate small-bowel, esophageal and colonic diseases. Endoscopy. 2010;42(3):220–227. doi: 10.1055/s-0029-1243968.
    1. Mathus-Vliegen E., Pellisé M., Heresbach D., et al. Consensus guidelines for the use of bowel preparation prior to colonic diagnostic procedures: colonoscopy and small bowel video capsule endoscopy. Current Medical Research and Opinion. 2013;29(8):931–945. doi: 10.1185/03007995.2013.803055.
    1. Song H. J., Moon J. S., Do J. H., et al. Guidelines for bowel preparation before video capsule endoscopy. Clinical Endoscopy. 2013;46(2):147–154. doi: 10.5946/ce.2013.46.2.147.
    1. Atkins D., Best D., Briss P. A., et al. Grading quality of evidence and strength of recommendations. British Medical Journal. 2004;328(7454, article 1490) doi: 10.1136/bmj.328.7454.1490.
    1. Viazis N., Sgouros S., Papaxoinis K., et al. Bowel preparation increases the diagnostic yield of capsule endoscopy: a prospective, randomized, controlled study. Gastrointestinal Endoscopy. 2004;60(4):534–538. doi: 10.1016/s0016-5107(04)01879-6.
    1. van Tuyl S. A. C., den Ouden H., Stolk M. F. J., Kuipers E. J. Optimal preparation for video capsule endoscopy: a prospective, randomized, single-blind study. Endoscopy. 2007;39(12):1037–1040. doi: 10.1055/s-2007-966988.
    1. Endo H., Kondo Y., Inamori M., et al. Ingesting 500 ml of polyethylene glycol solution during capsule endoscopy improves the image quality and completion rate to the cecum. Digestive Diseases and Sciences. 2008;53(12):3201–3205. doi: 10.1007/s10620-008-0292-0.
    1. Wi J.-H., Moon J.-S., Choi M.-G., et al. Bowel preparation for capsule endoscopy: a prospective randomized multicenter study. Gut and Liver. 2009;3(3):180–185. doi: 10.5009/gnl.2009.3.3.180.
    1. Rey J.-F., Repici A., Kuznetsov K., Boyko V., Aabakken L. Optimal preparation for small bowel examinations with video capsule endoscopy. Digestive and Liver Disease. 2009;41(7):486–493. doi: 10.1016/j.dld.2008.09.016.
    1. Park S. C., Keum B., Seo Y. S., et al. Effect of bowel preparation with polyethylene glycol on quality of capsule endoscopy. Digestive Diseases and Sciences. 2011;56(6):1769–1775. doi: 10.1007/s10620-010-1500-2.
    1. Ito T., Ohata K., Ono A., et al. Prospective controlled study on the effects of polyethylene glycol in capsule endoscopy. World Journal of Gastroenterology. 2012;18(15):1789–1792. doi: 10.3748/wjg.v18.i15.1789.
    1. Rosa B. J., Barbosa M., Magalhaes J., Rebelo A., Moreira M. J., Cotter J. Oral purgative and simethicone before small bowel capsule endoscopy. World Journal of Gastrointestinal Endoscopy. 2013;5(2):67–73.
    1. Dai N., Gubler C., Hengstler P., Meyenberger C., Bauerfeind P. Improved capsule endoscopy after bowel preparation. Gastrointestinal Endoscopy. 2005;61(1):28–31. doi: 10.1016/s0016-5107(04)02444-7.
    1. Ben-Soussan E., Savoye G., Antonietti M., Ramirez S., Ducrotté P., Lerebours E. Is a 2-liter PEG preparation useful before capsule endoscopy? Journal of Clinical Gastroenterology. 2005;39(5):381–384. doi: 10.1097/01.mcg.0000159271.43233.45.
    1. Kantianis A., Karagiannis S., Liatsos C., et al. Comparison of two schemes of small bowel preparation for capsule endoscopy with polyethylene glycol: a prospective, randomized single-blind study. European Journal of Gastroenterology and Hepatology. 2009;21(10):1140–1144. doi: 10.1097/meg.0b013e32832b2107.
    1. Koulaouzidis A., Rondonotti E., Karargyris A. Small-bowel capsule endoscopy: a ten-point contemporary review. World Journal of Gastroenterology. 2013;19(24):3726–3746. doi: 10.3748/wjg.v19.i24.3726.
    1. Black K. R., Truss W., Joiner C. I., Peter S., Weber F. H., Jr. A single-center randomized controlled trial evaluating timing of preparation for capsule enteroscopy. Clinical Endoscopy. 2015;48(3):234–238. doi: 10.5946/ce.2015.48.3.234.
    1. Connor A., Tolan D., Hughes S., Carr N., Tomson C. Consensus guidelines for the safe prescription and administration of oral bowel-cleansing agents. Gut. 2012;61(11):1525–1532. doi: 10.1136/gutjnl-2011-300861.
    1. Niv Y., Niv G., Wiser K., Demarco D. C. Capsule endoscopy—comparison of two strategies of bowel preparation. Alimentary Pharmacology and Therapeutics. 2005;22(10):957–962. doi: 10.1111/j.1365-2036.2005.02647.x.
    1. Belsey J., Crosta C., Epstein O., et al. Meta-analysis: Efficacy of small bowel preparation for small bowel video capsule endoscopy. Current Medical Research and Opinion. 2012;28(12):1883–1890. doi: 10.1185/03007995.2012.747953.
    1. Albert J., Göbel C.-M., Leßke J., Lotterer E., Nietsch H., Fleig W. E. Simethicone for small bowel preparation for capsule endoscopy: a systematic, single-blinded, controlled study. Gastrointestinal Endoscopy. 2004;59(4):487–491. doi: 10.1016/s0016-5107(04)00003-3.
    1. Ge Z.-Z., Chen H.-Y., Goa Y.-J., Hu Y.-B., Xiao S.-D. The role of simeticone in small-bowel preparation for capsule endoscopy. Endoscopy. 2006;38(8):836–840. doi: 10.1055/s-2006-944634.
    1. Wei W., Ge Z.-Z., Lu H., Gao Y.-J., Hu Y.-B., Xiao S.-D. Purgative bowel cleansing combined with simethicone improves capsule endoscopy imaging. The American Journal of Gastroenterology. 2008;103(1):77–82. doi: 10.1111/j.1572-0241.2007.01633.x.
    1. Fang Y.-H., Chen C.-X., Zhang B.-L. Effect of small bowel preparation with simethicone on capsule endoscopy. Journal of Zhejiang University. Science B. 2009;10(1):46–51. doi: 10.1631/jzus.b0820148.
    1. Spada C., Riccioni M. E., Familiari P., et al. Polyethylene glycol plus simethicone in small-bowel preparation for capsule endoscopy. Digestive and Liver Disease. 2010;42(5):365–370. doi: 10.1016/j.dld.2009.07.017.
    1. Wu L., Cao Y., Liao C., Huang J., Gao F. Systematic review and meta-analysis of randomized controlled trials of Simethicone for gastrointestinal endoscopic visibility. Scandinavian Journal of Gastroenterology. 2011;46(2):227–235. doi: 10.3109/00365521.2010.525714.
    1. Leung W. K., Chan F. K. L., Fung S. S. L., Wong M.-Y., Sung J. J. Y. Effect of oral erythromycin on gastric and small bowel transit time of capsule endoscopy. World Journal of Gastroenterology. 2005;11(31):4865–4868. doi: 10.3748/wjg.v11.i31.4865.
    1. Caddy G. R., Moran L., Chong A. K. H., Miller A. M., Taylor A. C., Desmond P. V. The effect of erythromycin on video capsule endoscopy intestinal-transit time. Gastrointestinal Endoscopy. 2006;63(2):262–266. doi: 10.1016/j.gie.2005.07.043.
    1. Niv E., Bogner I., Barkey O., et al. Effect of erythromycin on image quality and transit time of capsule endoscopy: a two-center study. World Journal of Gastroenterology. 2008;14(16):2561–2565. doi: 10.3748/wjg.14.2561.
    1. Wei W., Ge Z.-Z., Lu H., Gao Y.-J., Hu Y.-B., Xiao S.-D. Effect of mosapride on gastrointestinal transit time and diagnostic yield of capsule endoscopy. Journal of Gastroenterology and Hepatology. 2007;22(10):1605–1608. doi: 10.1111/j.1440-1746.2007.05064.x.
    1. Selby W. Complete small-bowel transit in patients undergoing capsule endoscopy: determining factors and improvement with metoclopramide. Gastrointestinal Endoscopy. 2005;61(1):80–85. doi: 10.1016/s0016-5107(04)02462-9.
    1. Postgate A., Tekkis P., Patterson N., Fitzpatrick A., Bassett P., Fraser C. Are bowel purgatives and prokinetics useful for small-bowel capsule endoscopy? A prospective randomized controlled study. Gastrointestinal Endoscopy. 2009;69(6):1120–1128. doi: 10.1016/j.gie.2008.06.044.
    1. Almeida N., Figueiredo P., Freire P., et al. The effect of metoclopramide in capsule enteroscopy. Digestive Diseases and Sciences. 2010;55(1):153–157. doi: 10.1007/s10620-008-0687-y.
    1. Hooks S. B., III, Rutland T. J., Di Palma J. A. Lubiprostone neither decreases gastric and small-bowel transit time nor improves visualization of small bowel for capsule endoscopy: a double-blind, placebo-controlled study. Gastrointestinal Endoscopy. 2009;70(5):942–946. doi: 10.1016/j.gie.2009.04.045.
    1. Matsuura M., Inamori M., Endo H., et al. Lubiprostone decreases the small bowel transit time by capsule endoscopy: an exploratory, randomised, double-blind, placebo-controlled 3-way crossover study. Gastroenterology Research and Practice. 2014;2014:6. doi: 10.1155/2014/879595.879595
    1. Kim E. S., Chun H. J., Keum B., et al. Coffee enema for preparation for small bowel video capsule endoscopy: a pilot study. Clinical Nutrition Research. 2014;3(2):134–141. doi: 10.7762/cnr.2014.3.2.134.
    1. Ninomiya K., Yao K., Matsui T., et al. Effectiveness of magnesium citrate as preparation for capsule endoscopy: a randomized, prospective, open-label, inter-group trial. Digestion. 2012;86(1):27–33. doi: 10.1159/000337937.

Source: PubMed

Patrocinadores e Colaboradores

Condições médicas

Intervenções de drogas

3
Se inscrever