PMID: 22576376May 12, 2012Paper

The relationship between physical activity level and completion rate of small bowel examination in patients undergoing capsule endoscopy

Internal Medicine
Tomoyoshi ShibuyaSumio Watanabe

Abstract

Capsule endoscopy (CE) allows direct examination of the small bowel in a safe, noninvasive and well-tolerated manner. Nonetheless, experience indicates failure to reach the cecum in 20-30% of patients within the 8 hour battery life. Attempts to improve the completion rate (CR) as defined by reaching the cecum have been unsuccessful. This study was to investigate the relationship between patients' physical activity and CR. Between January 2009 and January 2010, 76 patients (44 men, 32 women; median age 64.5 yr) underwent CE for the diagnosis of small intestinal disorders. Indications for CE were obscure gastrointestinal bleeding/anemia (62 cases), others (14 cases). Patients were divided into an outpatient group (n=23), mild bed rest group (n=35) and strict bed rest group (n=18). For all patients, the average gastric transit time was 65.5 minutes, small bowel transit time was 301.4 minutes and the CR was 86.8%. However, the CR was 100% (23/23) in the outpatient group, an 85.7% (30/35) in the mild bed rest group, and 72.2% (13/18) in the strict bed rest group. The CR increased with physical activity of patients by Cochran-Armitage Trend Test (p=0.009). In multivariate logistic regression analyses, low physical activity was a sign...Continue Reading

Citations

Mar 29, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Peter P StanichMarty M Meyer
Oct 4, 2016·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·R HiroseT Daidoji
Mar 5, 2017·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Heinz AlbrechtAlexander Fritzkarl Hagel
Aug 30, 2014·Expert Review of Gastroenterology & Hepatology·Anastasios KoulaouzidisJohn N Plevris
Jan 16, 2018·Canadian Journal of Gastroenterology & Hepatology·Majid AlsahafiFergal Donnellan
Aug 30, 2019·European Journal of Gastroenterology & Hepatology·Itaru IwamaYoshiko Nakayama
Oct 5, 2018·Bio-medical Materials and Engineering·Toshiyuki SakuraiChoitsu Sakamoto
Feb 13, 2019·The American Journal of Gastroenterology·Jean R KuoJonathan A Leighton

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