BACKGROUND: Colon capsule endoscopy (CCE) represents a new diagnostic, endoscopic technology for colonic exploration. Current protocols of preparation led to discordant rates of adequate cleansing level or CCE excretion. AIM: To evaluate the effect of a new regimen of bowel preparation for CCE on colon cleansing levels and on rate of capsule excretion. STUDY: 60 patients were prospectively enrolled. The new regimen of preparation consisted of a split regimen of PEG administration and of a 45 mL dose of sodium phosphate (NaP). Four senna tablets and a low-residue diet were also included. CCE excretion rate, colon cleansing, and accuracy were assessed. RESULTS: Forty-six patients were included in the final analysis, 13 patients (22%) being excluded because of preparation protocol deviations and one due to CCE technical failure (2%). At CCE, bowel preparation was rated as good in 78% of patients, fair in 20% and poor in 2%. CCE excretion rate occurred in 83% of patients. CCE sensitivity and specificity for significant findings was 100% and 95%, respectively. CONCLUSIONS: The combination of a split-dose of PEG solution with a low dose of NaP boosters resulted in high rates of adequate cleansing level and CCE excretion.

Riccioni, M. E., Hassan, C., Petruzziello, L., Spada, C., Ingrosso, M., Cesaro, P., Spera, G., Costamagna, G., A new regimen of bowel preparation for PillCam colon capsule endoscopy: a pilot study., <<DIGESTIVE AND LIVER DISEASE>>, 2011; (Aprile): 300-304 [http://hdl.handle.net/10807/11994]

A new regimen of bowel preparation for PillCam colon capsule endoscopy: a pilot study.

Riccioni, Maria Elena;Hassan, Cesare;Petruzziello, Lucio;Spada, Cristiano;Ingrosso, Marcello;Cesaro, Paola;Spera, Gianluca;Costamagna, Guido
2011

Abstract

BACKGROUND: Colon capsule endoscopy (CCE) represents a new diagnostic, endoscopic technology for colonic exploration. Current protocols of preparation led to discordant rates of adequate cleansing level or CCE excretion. AIM: To evaluate the effect of a new regimen of bowel preparation for CCE on colon cleansing levels and on rate of capsule excretion. STUDY: 60 patients were prospectively enrolled. The new regimen of preparation consisted of a split regimen of PEG administration and of a 45 mL dose of sodium phosphate (NaP). Four senna tablets and a low-residue diet were also included. CCE excretion rate, colon cleansing, and accuracy were assessed. RESULTS: Forty-six patients were included in the final analysis, 13 patients (22%) being excluded because of preparation protocol deviations and one due to CCE technical failure (2%). At CCE, bowel preparation was rated as good in 78% of patients, fair in 20% and poor in 2%. CCE excretion rate occurred in 83% of patients. CCE sensitivity and specificity for significant findings was 100% and 95%, respectively. CONCLUSIONS: The combination of a split-dose of PEG solution with a low dose of NaP boosters resulted in high rates of adequate cleansing level and CCE excretion.
Inglese
Riccioni, M. E., Hassan, C., Petruzziello, L., Spada, C., Ingrosso, M., Cesaro, P., Spera, G., Costamagna, G., A new regimen of bowel preparation for PillCam colon capsule endoscopy: a pilot study., <<DIGESTIVE AND LIVER DISEASE>>, 2011; (Aprile): 300-304 [http://hdl.handle.net/10807/11994]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/11994
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