Bowel preparations for capsule endoscopy: a comparison between simethicone and magnesium citrate

Gastrointestinal Endoscopy
Motohiro EsakiMitsuo Iida

Abstract

Bowel preparation for capsule endoscopy (CE) has not been standardized. This study aimed to compare CE images between patients prepared by simethicone and those prepared by magnesium citrate. Retrospective analysis of case series of our hospital from 2004 to 2007. Single center. CE images of 75 patients receiving bowel preparation either by 200 mg of simethicone (n=39) or by 34 g of magnesium citrate (n=36) were retrospectively investigated. Grades of fluid transparency and mucosal invisibility by air bubbles and food residue were compared between the 2 preparations. Capsule transit time, frequency of positive findings, and interobserver variations between 2 observers were also investigated. Image quality and diagnostic yield of CE. Fluid transparency in the first and the third time segments of the small intestine was better in patients prepared by magnesium citrate than in those prepared by simethicone (P= .001 and P= .03, respectively). On the other hand, mucosal invisibility was not different in any part of the small intestine between the 2 groups. Neither gastric transit time nor small-bowel transit time was different between the 2 groups. The diagnostic yield of CE correlated significantly with fluid transparency (P= .04),...Continue Reading

References

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Citations

May 4, 2012·World Journal of Gastroenterology : WJG·Takafumi ItoNobuyuki Matsuhashi
May 14, 2011·Digestive Diseases and Sciences·Takayuki MatsumotoMitsuo Iida
Aug 21, 2013·Gastrointestinal Endoscopy·Lauren B Gerson
Apr 16, 2011·Gastrointestinal Endoscopy·Hiroyuki AiharaHisao Tajiri
Jun 9, 2016·Journal of Investigative Medicine : the Official Publication of the American Federation for Clinical Research·Carmine CatalanoAaron Walfish
Aug 20, 2014·Clinical Nutrition Research·Eun Sun KimHo Sang Ryu
Jan 19, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Naoki HosoeTakanori Kanai
Aug 31, 2019·Digestive Diseases and Sciences·David R CaveKrunal Patel
Dec 10, 2015·Journal of Clinical Gastroenterology·Pedro Magalhães-CostaCristina Chagas
Jun 13, 2015·Clinical Endoscopy·Katherine R BlackFrederick H Weber
Jul 25, 2017·Expert Review of Gastroenterology & Hepatology·Diana E YungAnastastios Koulaouzidis
Dec 19, 2018·Digestive Diseases and Sciences·Yuan-Chen WangZhuan Liao
Mar 22, 2021·Gastrointestinal Endoscopy Clinics of North America·Elizabeth SquirellLawrence Hookey

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