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Cited 52 time in webofscience Cited 48 time in scopus
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Effect of Bowel Preparation with Polyethylene Glycol on Quality of Capsule Endoscopy

Authors
Park, Sung ChulKeum, BoraSeo, Yeon SeokKim, Yong SikJeen, Yoon TaeChun, Hoon JaiUm, Soon HoKim, Chang DuckRyu, Ho Sang
Issue Date
Jun-2011
Publisher
SPRINGER
Keywords
Capsule endoscopy; Cleansing score system; Bowel preparation
Citation
DIGESTIVE DISEASES AND SCIENCES, v.56, no.6, pp.1769 - 1775
Indexed
SCIE
SCOPUS
Journal Title
DIGESTIVE DISEASES AND SCIENCES
Volume
56
Number
6
Start Page
1769
End Page
1775
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/13440
DOI
10.1007/s10620-010-1500-2
ISSN
0163-2116
Abstract
Capsule endoscopy (CE) has the problem that lumen visualization is impaired by bubbles, bile, and debris. The benefits of bowel preparation are still controversial and the best method remains to be determined. The objective of this study was to evaluate the effect of the method of bowel preparation on the quality of visualization and on transit time. The study sample consisted of 68 patients for CE. Patients were randomly allocated to three groups. In group A (n = 23), patients fasted for 12 h before CE. In groups B (n = 20) and C (n = 25), patients received 2 and 4 l of polyethylene glycol (PEG), respectively. Small bowel images were evaluated by use of a cleansing score system. Representative frames were serially selected at 5-min intervals and scored by assessment of two properties (proportion of luminal visibility and extent of obscuration). The median scores of image quality in groups A, B, and C were 2.26, 2.43, and 2.55 respectively, (P = 0.034). Cecal completion rates, gastric transit time, and small bowel transit time were no different among the three groups. Detection of lesions in groups A, B, and C was 56.5, 65.0, and 68.0%, respectively. Bowel preparation with PEG resulted in better image quality than fasting alone. No significant difference was observed between 2 and 4 l. PEG 2 l rather than 4 l may be a useful method of preparation for CE.
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5. Others > Others(Medicine) > 1. Journal Articles
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

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Jeen, Yoon Tae
Anam Hospital (Department of Gastroenterology and Hepatology, Anam Hospital)
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