Publicação
Bowel preparation for small bowel capsule endoscopy - The later, the better!
| Resumo: | In small bowel capsule endoscopy (SBCE), the presence of residue may compromise diagnostic accuracy. Background In small bowel capsule endoscopy (SBCE), the presence of residue may compromise diagnostic accuracy. Aims To assess differences in quality of visualisation and diagnostic yield of SBCE using 3 different preparation protocols. Methods Prospective, randomized, blind, pilot study. Protocol A:Clear liquids diet the day before the examination with fasting from 8p.m.; Protocol B:Protocol A + 2 pouches of Moviprep®(polyethylene glycol electrolyte solution + sodium ascorbate) in 1 L of water from 8p.m. of the day before the examination; Protocol C: Protocol A + 2 pouches of Moviprep® in 1 L of water consumed after real-time confirmation of capsule arrival at small bowel. Small bowel preparation was classified by two experienced physicians, considering the percentage of the examination during which mucosal observation was adequate: Excellent(>90%); Good(90–75%); Fair(75–50%); Poor(<50%). Results 101 patients randomized to the 3 protocols (A 37, B 31, C 33 patients). Protocol C had an excellent/good small bowel preparation in a higher percentage of examinations for both readers(Reader 1-A:37.8% vs B:45.2% vs C:78.8%, p = 0.002 and Reader 2 –A:37.8% vs B:41.9% vs C:75.8%, p = 0.003). Also, protocol C had a higher detection of angioectasia (A:5.4% vs B:9.7% vs C:27.3%, p = 0.022). Conclusions The administration of Moviprep® after the capsule had reached the small bowel was associated with a better small bowel preparation and a higher detection of angioectasia. |
|---|---|
| Autores principais: | Xavier, S. |
| Outros Autores: | Rosa, B.; Monteiro, S.; Arieira, C.; Magalhães, R.; Cúrdia Gonçalves, T.; Boal Carvalho, P.; Magalhães, J.; Moreira, M. J.; Cotter, José Almeida Berkeley |
| Assunto: | Adult Aged Capsule Endoscopy Cathartics Female Gastrointestinal Transit Humans Intestine, Small Male Middle Aged Pilot Projects Polyethylene Glycols Prospective Studies Fasting Bowel preparation Diagnostic yield Small bowel capsule endoscopy |
| Ano: | 2019 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade do Minho |
| Idioma: | inglês |
| Origem: | RepositóriUM - Universidade do Minho |
| _version_ | 1866877603764240384 |
|---|---|
| author | Xavier, S. |
| author2 | Rosa, B. Monteiro, S. Arieira, C. Magalhães, R. Cúrdia Gonçalves, T. Boal Carvalho, P. Magalhães, J. Moreira, M. J. Cotter, José Almeida Berkeley |
| author2_role | author author author author author author author author author |
| author_facet | Xavier, S. Rosa, B. Monteiro, S. Arieira, C. Magalhães, R. Cúrdia Gonçalves, T. Boal Carvalho, P. Magalhães, J. Moreira, M. J. Cotter, José Almeida Berkeley |
| author_role | author |
| contributor_name_str_mv | Universidade do Minho |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Xavier, S.\"},{\"Person.name\":\"Rosa, B.\"},{\"Person.name\":\"Monteiro, S.\"},{\"Person.name\":\"Arieira, C.\"},{\"Person.name\":\"Magalhães, R.\"},{\"Person.name\":\"Cúrdia Gonçalves, T.\"},{\"Person.name\":\"Boal Carvalho, P.\"},{\"Person.name\":\"Magalhães, J.\"},{\"Person.name\":\"Moreira, M. J.\"},{\"Person.name\":\"Cotter, José Almeida Berkeley\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Universidade do Minho |
| datacite.creators.creator.creatorName.fl_str_mv | Xavier, S. Rosa, B. Monteiro, S. Arieira, C. Magalhães, R. Cúrdia Gonçalves, T. Boal Carvalho, P. Magalhães, J. Moreira, M. J. Cotter, José Almeida Berkeley |
| datacite.date.Accepted.fl_str_mv | 2019-10-01T00:00:00Z |
| datacite.date.embargoed.fl_str_mv | 10000-01-01T00:00:00Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| datacite.subjects.subject.fl_str_mv | Adult Aged Capsule Endoscopy Cathartics Female Gastrointestinal Transit Humans Intestine, Small Male Middle Aged Pilot Projects Polyethylene Glycols Prospective Studies Fasting Bowel preparation Diagnostic yield Small bowel capsule endoscopy |
| datacite.titles.title.fl_str_mv | Bowel preparation for small bowel capsule endoscopy - The later, the better! |
| dc.contributor.none.fl_str_mv | Universidade do Minho |
| dc.creator.none.fl_str_mv | Xavier, S. Rosa, B. Monteiro, S. Arieira, C. Magalhães, R. Cúrdia Gonçalves, T. Boal Carvalho, P. Magalhães, J. Moreira, M. J. Cotter, José Almeida Berkeley |
| dc.date.Accepted.fl_str_mv | 2019-10-01T00:00:00Z |
| dc.date.embargoed.fl_str_mv | 10000-01-01T00:00:00Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://hdl.handle.net/1822/67405 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Elsevier |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| dc.subject.none.fl_str_mv | Adult Aged Capsule Endoscopy Cathartics Female Gastrointestinal Transit Humans Intestine, Small Male Middle Aged Pilot Projects Polyethylene Glycols Prospective Studies Fasting Bowel preparation Diagnostic yield Small bowel capsule endoscopy |
| dc.title.fl_str_mv | Bowel preparation for small bowel capsule endoscopy - The later, the better! |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | In small bowel capsule endoscopy (SBCE), the presence of residue may compromise diagnostic accuracy. Background In small bowel capsule endoscopy (SBCE), the presence of residue may compromise diagnostic accuracy. Aims To assess differences in quality of visualisation and diagnostic yield of SBCE using 3 different preparation protocols. Methods Prospective, randomized, blind, pilot study. Protocol A:Clear liquids diet the day before the examination with fasting from 8p.m.; Protocol B:Protocol A + 2 pouches of Moviprep®(polyethylene glycol electrolyte solution + sodium ascorbate) in 1 L of water from 8p.m. of the day before the examination; Protocol C: Protocol A + 2 pouches of Moviprep® in 1 L of water consumed after real-time confirmation of capsule arrival at small bowel. Small bowel preparation was classified by two experienced physicians, considering the percentage of the examination during which mucosal observation was adequate: Excellent(>90%); Good(90–75%); Fair(75–50%); Poor(<50%). Results 101 patients randomized to the 3 protocols (A 37, B 31, C 33 patients). Protocol C had an excellent/good small bowel preparation in a higher percentage of examinations for both readers(Reader 1-A:37.8% vs B:45.2% vs C:78.8%, p = 0.002 and Reader 2 –A:37.8% vs B:41.9% vs C:75.8%, p = 0.003). Also, protocol C had a higher detection of angioectasia (A:5.4% vs B:9.7% vs C:27.3%, p = 0.022). Conclusions The administration of Moviprep® after the capsule had reached the small bowel was associated with a better small bowel preparation and a higher detection of angioectasia. |
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| eu_rights_str_mv | restrictedAccess |
| format | article |
| fulltext.url.fl_str_mv | https://prod-dspace.uminho.pt/bitstreams/66b41ea2-83e6-4914-86ea-cdf2054f58ee/download |
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| identifier.url.fl_str_mv | https://hdl.handle.net/1822/67405 |
| instacron_str | repositorium |
| institution | Universidade do Minho |
| instname_str | Universidade do Minho |
| language | eng |
| network_acronym_str | rum |
| network_name_str | RepositóriUM - Universidade do Minho |
| oai_identifier_str | oai:repositorium.uminho.pt:1822/67405 |
| organization_str_mv | urn:organizationAcronym:repositorium |
| person_str_mv | Xavier, S. Rosa, B. Monteiro, S. Arieira, C. Magalhães, R. Cúrdia Gonçalves, T. Boal Carvalho, P. Magalhães, J. Moreira, M. J. Cotter, José Almeida Berkeley |
| publishDate | 2019 |
| publisher.none.fl_str_mv | Elsevier |
| reponame_str | RepositóriUM - Universidade do Minho |
| repository_id_str | urn:repositoryAcronym:rum |
| service_str_mv | urn:repositoryAcronym:rum |
| spelling | engElsevierporIn small bowel capsule endoscopy (SBCE), the presence of residue may compromise diagnostic accuracy. Background In small bowel capsule endoscopy (SBCE), the presence of residue may compromise diagnostic accuracy. Aims To assess differences in quality of visualisation and diagnostic yield of SBCE using 3 different preparation protocols. Methods Prospective, randomized, blind, pilot study. Protocol A:Clear liquids diet the day before the examination with fasting from 8p.m.; Protocol B:Protocol A + 2 pouches of Moviprep®(polyethylene glycol electrolyte solution + sodium ascorbate) in 1 L of water from 8p.m. of the day before the examination; Protocol C: Protocol A + 2 pouches of Moviprep® in 1 L of water consumed after real-time confirmation of capsule arrival at small bowel. Small bowel preparation was classified by two experienced physicians, considering the percentage of the examination during which mucosal observation was adequate: Excellent(>90%); Good(90–75%); Fair(75–50%); Poor(<50%). Results 101 patients randomized to the 3 protocols (A 37, B 31, C 33 patients). Protocol C had an excellent/good small bowel preparation in a higher percentage of examinations for both readers(Reader 1-A:37.8% vs B:45.2% vs C:78.8%, p = 0.002 and Reader 2 –A:37.8% vs B:41.9% vs C:75.8%, p = 0.003). Also, protocol C had a higher detection of angioectasia (A:5.4% vs B:9.7% vs C:27.3%, p = 0.022). Conclusions The administration of Moviprep® after the capsule had reached the small bowel was associated with a better small bowel preparation and a higher detection of angioectasia.application/pdfporBowel preparation for small bowel capsule endoscopy - The later, the better!Xavier, S.Rosa, B.Monteiro, S.Arieira, C.Magalhães, R.Cúrdia Gonçalves, T.Boal Carvalho, P.Magalhães, J.Moreira, M. J.Cotter, José Almeida BerkeleyHostingInstitutionOrganizationalUniversidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptISSNIsPartOf1590-8658DOIIsPartOf10.1016/j.dld.2019.04.0142019-102019-10-01T00:00:00Z10000-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/67405http://purl.org/coar/access_right/c_16ecrestricted accessAdultAgedCapsule EndoscopyCatharticsFemaleGastrointestinal TransitHumansIntestine, SmallMaleMiddle AgedPilot ProjectsPolyethylene GlycolsProspective StudiesFastingBowel preparationDiagnostic yieldSmall bowel capsule endoscopy365361 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_f1cfapplication/pdffulltexthttps://prod-dspace.uminho.pt/bitstreams/66b41ea2-83e6-4914-86ea-cdf2054f58ee/download |
| spellingShingle | Bowel preparation for small bowel capsule endoscopy - The later, the better! Xavier, S. Adult Aged Capsule Endoscopy Cathartics Female Gastrointestinal Transit Humans Intestine, Small Male Middle Aged Pilot Projects Polyethylene Glycols Prospective Studies Fasting Bowel preparation Diagnostic yield Small bowel capsule endoscopy |
| status | SINGLETON |
| subject.fl_str_mv | Adult Aged Capsule Endoscopy Cathartics Female Gastrointestinal Transit Humans Intestine, Small Male Middle Aged Pilot Projects Polyethylene Glycols Prospective Studies Fasting Bowel preparation Diagnostic yield Small bowel capsule endoscopy |
| title | Bowel preparation for small bowel capsule endoscopy - The later, the better! |
| title_full | Bowel preparation for small bowel capsule endoscopy - The later, the better! |
| title_fullStr | Bowel preparation for small bowel capsule endoscopy - The later, the better! |
| title_full_unstemmed | Bowel preparation for small bowel capsule endoscopy - The later, the better! |
| title_short | Bowel preparation for small bowel capsule endoscopy - The later, the better! |
| title_sort | Bowel preparation for small bowel capsule endoscopy - The later, the better! |
| topic | Adult Aged Capsule Endoscopy Cathartics Female Gastrointestinal Transit Humans Intestine, Small Male Middle Aged Pilot Projects Polyethylene Glycols Prospective Studies Fasting Bowel preparation Diagnostic yield Small bowel capsule endoscopy |
| topic_facet | Adult Aged Capsule Endoscopy Cathartics Female Gastrointestinal Transit Humans Intestine, Small Male Middle Aged Pilot Projects Polyethylene Glycols Prospective Studies Fasting Bowel preparation Diagnostic yield Small bowel capsule endoscopy |
| url | https://hdl.handle.net/1822/67405 |
| visible | 1 |