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Ensure preparation and capsule endoscopy:A two-center prospective study

World Journal of Gastroenterology 2013年第8期19卷 1264-1270页

作者： Eva Niv Baruch Ovadia Yulia Ron Ervin Santo Elisabeth Mahajna Zamir Halpern Zvi Fireman Department of Gastroenterology Tel Aviv Sourasky Medical CenterTel Aviv 64239Israel Department of Gastroenterology Hillel Yaffe Medical CenterHadera 38100Israel

AIM:To compare small bowel(SB) cleanliness and capsule endoscopy(CE) image quality following Ensure,polyethylene glycol(PEG) and standard ***:A preparation protocol for CE that is both efficacious and acceptable to patients remains *** the physiological function of the SB as a site for the digestion and absorption of food and not as a stool reservoir,preparation consisting of a liquid,fiber-free formula ingested one day before a CE study might have an advantage over other kinds of *** conducted a prospective,blind-topreparation,two-center study that compared four types of *** participants' demographic and clinical data were *** and SB transit times were *** presence of bile in the duodenum was scored by a single,blinded-to-preparation gastroenterologist expert in CE,as was cleanliness within the proximal,middle and distal part of the SB.A four-point scale was used(grade 1 = no bile or residue,grade 4 ≥ 90% of lumen full of bile or residual material).RESULTS:The 198 consecutive patients who were referred to CE studies due to routine medical reasons were divided into four *** all observed a 12-h overnight fast before undergoing *** the 24 h preceding the fast,control group 1(n = 45 patients) ate light unrestricted meals,control group 2(n = 81) also ate light meals but free of fruits and vegetables,the PEG group(n = 50) ate unrestricted light meals and ingested the PEG preparation,and the Ensure group(n = 22) ingested only the Ensure *** with Ensure improved the visualization of duodenal mucosa(a score of 1.76) by decreasing the bile content compared to preparation with PEG(a score of 2.9)(P = 0.053).Overall,as expected,there was less residue and stool in the proximal part of the SB than in the middle and distal parts in all *** total score of cleanliness throughout the length of the SB showed some benefit for Ensure(a score of 1.8) over control g

关键词： Capsule endoscopy Preparation Polyethylene glycol Ensure fiber-free diet Image quality

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