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Year 2018 / Volume 110 / Number 10
Original

Predictive factors of an incomplete examination and inadequate small-bowel cleanliness during capsule endoscopy

605-611

DOI: 10.17235/reed.2018.4834/2017

Ana Ponte, Rolando Pinho, Adélia Rodrigues, Joana Silva, Jaime Rodrigues, Mafalda Sousa, João Carvalho,

Abstract

Aim: the aim of this study was to determine predictive factors for an incomplete capsule endoscopy and an inadequate small-bowel preparation in capsule endoscopy. Methods: predictive factors for an incomplete capsule endoscopy were evaluated. Therefore, all patients with incomplete examinations performed between June 2009 and February 2016 were retrospectively included and compared with all patients with complete procedures performed between January 2014 and February 2016. Predictive factors of an inadequate small-bowel cleanliness were assessed. Therefore, the subset of patients that underwent capsule endoscopy between January 2014 and February 2016, including incomplete examinations, were evaluated. Small-bowel cleanliness was evaluated according to a quantitative index and a qualitative evaluation scale. Data with regard to patient and capsule endoscopy was analyzed. Results: 31 incomplete and 122 complete capsule endoscopies were included in the analysis of predictive factors for an incomplete capsule endoscopy. The degree of dependency (OR = 4.67; p = 0.028), performance of a capsule endoscopy in hospitalized patients (OR = 4.04; p = 0.006) and prior abdominal surgery (OR = 3.45; p = 0.012) were independent predictive factors of an incomplete procedure. 130 patients were included in the analysis of predictive factors for an inadequate small-bowel cleanliness. The mean quantitative index value was 7.3 (s.d. ± 2.3); 41.6% and 58.5% of capsule endoscopies were classified as poor-fair and good/excellent respectively, according to the qualitative evaluation. Independent predictive factors for an inadequate preparation according to the quantitative index included male gender (Beta = -0.79; p = 0.028), small-bowel transit time (Beta = -0.007; p < 0.0001) and cardiac disease (Beta = -1.29; p = 0.001). Associated factors according to the qualitative evaluation included male gender (OR = 0.406; p = 0.027) and small-bowel transit time (SBTT) (OR = 0.993; p < 0.0001). Conclusion: inpatient status, higher degrees of dependency and abdominal surgery are predictive factors for an incomplete capsule endoscopy; male gender and higher small-bowel transit time are predictive factors for an inadequate cleanliness.

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DOI: 10.1111/j.1572-0241.2007.01633.x

DOI: 10.1016/j.gie.2008.04.016

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DOI: 10.1055/s-0034-1377521

16) Park SC, Keum B, Hyun JJ, et al. A novel cleansing score system for capsule endoscopy. World J Gastroenterol. 2010 Feb 21;16(7):875-80.

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DOI: 10.1007/s10620-011-1693-z

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21) Van Weyenberg SJ, De Leest HT, Mulder CJ. Description of a novel grading system to assess the quality of bowel preparation in video capsule endoscopy. Endoscopy. 2011;43:406-11.

DOI: 10.1055/s-0030-1256228

DOI: 10.1097/MEG.0000000000000552

23) Höög CM, Bark LÅ, Arkani J, et al. Capsule retentions and incomplete capsule endoscopy examinations: an analysis of 2300 examinations. Gastroenterol Res Pract. 2012;2012:518718.

DOI: 10.1155/2012/518718

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DOI: 10.3748/wjg.v16.i42.5329

25) Chen HB, Huang Y, Chen SY, et al. Small bowel preparations for capsule endoscopy with manitol and simethicone: a prospective, randomized, clinical trial. J Clin Gastroenterol. 2011;45:337-41.

DOI: 10.1097/MCG.0b013e3181f0f3a3

26) Selby W. Complete small-bowel transit in patients undergoing capsule endoscopy: determining factors and improvement with metoclopramide. Gastrointest Endosc. 2005;61:80-5.

DOI: 10.1016/S0016-5107(04)02462-9

27) Fisher LR, Hasler WL. New vision in video capsule endoscopy: current status and future directions. Nat Rev Gastroenterol Hepatol. 201;9:392-405.

28) Kwack WG, Lim YJ. Current Status and Research into Overcoming Limitations of Capsule Endoscopy. Clin Endosc. 2016;49:8-15.

DOI: 10.5946/ce.2016.49.1.8

29) Yee R, Manoharan S, Hall C, et al. Optimizing bowel preparation for colonoscopy: what are the predictors of an inadequate preparation?. Am J Surg. 2015;209:787-92; discussion 792.

DOI: 10.1016/j.amjsurg.2014.12.018

30) Romero RV, Mahadeva S. Factors influencing quality of bowel preparation for colonoscopy. World J Gastrointest Endosc. 2013;5:39-46.

DOI: 10.4253/wjge.v5.i2.39

31) Rosa BJ, Barbosa M, Magalhães J, et al. Oral purgative and simethicone before small bowel capsule endoscopy. World J Gastrointest Endosc. 2013;5:67-73.

DOI: 10.4253/wjge.v5.i2.67

32) Lapalus MG, Ben Soussan E, Saurin JC, et al. Capsule endoscopy and bowel preparation with oral sodium phosphate: a prospective randomized controlled trial. Gastrointest Endosc. 2008;67:1091-6.

DOI: 10.1016/j.gie.2007.11.053

33) Song HJ, Moon JS, Shim KN. Optimal Bowel Preparation for Video Capsule Endoscopy. Gastroenterol Res Pract. 2016;2016:6802810.

DOI: 10.1155/2016/6802810

34) Song HJ, Moon JS, Do JH, et al. Guidelines for bowel preparation before video capsule endoscopy. Clin Endosc. 2013;46:147-54.

DOI: 10.5946/ce.2013.46.2.147

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Ponte A, Pinho R, Rodrigues A, Silva J, Rodrigues J, Sousa M, et all. Predictive factors of an incomplete examination and inadequate small-bowel cleanliness during capsule endoscopy. 4834/2017

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Publication history

Received: 08/01/2017

Accepted: 29/04/2018

Online First: 12/06/2018

Published: 01/10/2018

Article revision time: 472 days

Article Online First time: 520 days

Article editing time: 631 days

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