Song Hyun Joo, Moon Jeong Seop, Shim Ki-Nam
Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Republic of Korea.
Department of Internal Medicine, Inje University College of Medicine, Seoul, Republic of Korea.
Gastroenterol Res Pract. 2016;2016:6802810. doi: 10.1155/2016/6802810. Epub 2015 Dec 31.
During video capsule endoscopy (VCE), several factors, such as air bubbles, food material in the small bowel, and delayed gastric and small bowel transit time, influence diagnostic yield, small bowel visualization quality, and cecal completion rate. Therefore, bowel preparation before VCE is as essential as bowel preparation before colonoscopy. To date, there have been many comparative studies, consensus, and guidelines regarding different kinds of bowel cleansing agents in bowel preparation for small bowel VCE. Presently, polyethylene glycol- (PEG-) based regimens are given primary recommendation. Sodium picosulphate-based regimens are secondarily recommended, as their cleansing efficacy is less than that of PEG-based regimens. Sodium phosphate as well as complementary simethicone and prokinetics use are considered. In this paper, we reviewed previous studies regarding bowel preparation for small bowel VCE and suggested optimal bowel preparation of VCE.
在视频胶囊内镜检查（VCE）期间，有几个因素，如气泡、小肠内的食物残渣以及胃和小肠转运时间延迟，会影响诊断率、小肠可视化质量和盲肠完成率。因此，VCE前的肠道准备与结肠镜检查前的肠道准备同样重要。迄今为止，关于小肠VCE肠道准备中不同种类肠道清洁剂的比较研究、共识和指南有很多。目前，基于聚乙二醇（PEG）的方案被优先推荐。基于匹可硫酸钠的方案其次被推荐，因为其清洁效果不如基于PEG的方案。考虑使用磷酸钠以及辅助使用西甲硅油和促动力药。在本文中，我们回顾了先前关于小肠VCE肠道准备的研究，并提出了VCE的最佳肠道准备方案。
