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A Single-Center Randomized Controlled Trial Evaluating Timing of Preparation for Capsule Enteroscopy
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Katherine R. Black, Wiley Truss, Cynthia I. Joiner, Shajan Peter, Frederick H. Weber
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Clin Endosc 2015;48(3):234-238. Published online May 29, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.3.234
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 Abstract
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- Background/Aims
Intestinal lavage (IL) administration immediately before capsule enteroscopy (CE) is superior to lavage the day before the procedure. We aimed to determine the effect of IL timing on CE diagnostic yield. MethodsPatients referred for CE were randomized prospectively into two equal groups according to the timing of IL with 2 L of polyethylene glycol solution. Group A and B underwent IL over 2 hours beginning 14 and 4 hours, respectively, before the scheduled CE. The primary outcome measure was preparation quality, measured with a predetermined validated grading scale. ResultsA total of 34 patients were randomized. The frequency of mucosal abnormalities (77% vs. 82%, p=not significant [NS]) and diagnostic yield (47% vs. 53%, p=NS) were similar between the two groups. Moreover, no significant association between the quality of small bowel preparation and the timing at which the purgative for IL was administered was observed (overall fluid transparency, p=0.936; overall mucosal invisibility, p=0.091). ConclusionsDay-before IL is equivalent to same-day IL in terms of overall preparation quality, proportion of complete studies to cecum, small bowel transit time, frequency of identified mucosal abnormalities, and overall diagnostic yield.
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Citations
Citations to this article as recorded by  - Preparation Regimens to Improve Capsule Endoscopy Visualization and Diagnostic Yield (PrepRICE): a multicenter randomized trial
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Gastrointestinal Endoscopy.2024;[Epub] CrossRef - Preparation, Timing, Prokinetics, and Surface Agents in Video Capsule Endoscopy
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Journal of Clinical Gastroenterology.2020; 54(2): 170. CrossRef - Optimal Bowel Preparation for Capsule Endoscopy and Device-assisted Enteroscopy
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The Korean Journal of Gastroenterology.2020; 75(2): 74. CrossRef - Quality Indicators for Small Bowel Capsule Endoscopy
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Diana E. Yung, Emanuele Rondonotti, Catherine Sykes, Marco Pennazio, John N. Plevris, Anastastios Koulaouzidis
Expert Review of Gastroenterology & Hepatology.2017; 11(10): 979. CrossRef - Optimal Bowel Preparation for Video Capsule Endoscopy
Hyun Joo Song, Jeong Seop Moon, Ki-Nam Shim
Gastroenterology Research and Practice.2016; 2016: 1. CrossRef - Superiority of the Split-dose PEG Regimen for Small-Bowel Capsule Endoscopy
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Journal of Clinical Gastroenterology.2016; 50(7): e65. CrossRef - What Is the Optimal Timing of Bowel Preparation for Video Capsule Endoscopy?
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