The effect of macrogol administration on the quality of macroscopic images and transit time in canine capsule endoscopy

2014 ◽  
Vol 17 (4) ◽  
pp. 673-679 ◽  
Author(s):  
A. Rychlik ◽  
M. Nowicki ◽  
M. Kander ◽  
M. Szweda
Keyword(s):  
Small Bowel ◽  
Transit Time ◽  
Capsule Endoscopy ◽  
Large Bowel ◽  
Small Bowel Mucosa ◽  
The Mean ◽  
Colonoscopy Preparation ◽  
Mean Time ◽  
Bowel Mucosa

Abstract The present experiment evaluated the quality of macroscopic images and the mean time of capsule passage through different sections of the gastrointestinal tract in dogs subjected to different preparation protocols before capsule endoscopy. In the first examination, the colonoscopy preparation protocol was applied, and in the second examination, the animals were administered macrogol. The study revealed that macrogol administration before capsule endoscopy significantly improved the quality of macroscopic images. The colonoscopy preparation protocol may not support accurate visualization of the large bowel mucosa and, in selected patients, also the small bowel mucosa. Macrogol administration had no effect on capsule transit time through the alimentary canal. Capsules used in endoscopic evaluations of the small bowel in humans may have limited applications in macroscopic examinations of large bowel mucosa in dogs.

scholarly journals 2L of Polyethylene Glycol as the Main Small Bowel Cleansing Regimen Component Prior to Video Capsule Endoscopy: Interim Analysis

2020 ◽  
Vol 74 (2) ◽  
pp. 83-87
Author(s):  
Aleksejs Derovs ◽  
Jeļena Derova ◽  
Regīna Kleina ◽  
Juris Pokrotnieks
Keyword(s):  
Polyethylene Glycol ◽  
Small Bowel ◽  
Transit Time ◽  
Capsule Endoscopy ◽  
Interim Analysis ◽  
Preparation Methods ◽  
Diagnostic Endoscopy ◽  
Factors Influencing ◽  
Bowel Cleansing

AbstractCapsule Enteroscopy (CE) is a fundamentally new method in diagnostic endoscopy. However, there are several factors influencing the quality of this procedure, including impermeable fluids, food remains etc. The aim of the study was to assess one of the most popular currently used bowel preparation methods and evaluate possible effects of various factors. 136 CE examinations were analysed. Each patient was prepared using 2 litres of polyethylene glycol (PEG) one day prior to examination. There was a special form filled in for each patient, which included relevant parameters (anamnesis, CE data etc.). Of 136 CE cases, 84 (61.8%) were female patients and 52 (38.2%) were male. The small bowel (SB) transit time in 112 patients varied from 39 to 502 minutes, but in 24 cases the capsule did not reach caecum. The degree of bowel cleanliness was as follows: very good — 30 (22.1%) patients, satisfactory — 97 (71.3%), and poor — 9 (6.6%). A positive correlation was observed between the degree of SB cleanliness and the SB transit time (p = 0.015). A longer SB transits time was associated with poor SB cleanliness. The results obtained in this study showed that the quality of SB cleanliness is affected by SB transit time. A relatively large percentage of cases rated as satisfactory bowel cleanliness and comparatively small percentage of bowel cleanliness cases rated as “very good” were observed when 2 litres of PEG were used prior to CE, indicating an important issues in preparation of the bowel prior to CE.

scholarly journals Capsule Endoscopy in the Management of Refractory Coeliac Disease

2019 ◽  
Vol 28 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Stefania Chetcuti Zammit ◽  
David S Sanders ◽  
Simon S Cross
Keyword(s):  
Small Bowel ◽  
Coeliac Disease ◽  
Capsule Endoscopy ◽  
Statistical Difference ◽  
Mucosal Involvement ◽  
Small Bowel Mucosa ◽  
Extent Of Disease ◽  
Bowel Mucosa ◽  
Refractory Coeliac Disease

Background & Aims: There is no literature on the role of repeat small bowel capsule endoscopy (SBCE) in patients with refractory coeliac disease (RCD) following treatment with steroids +/- immunosuppressants.Methods: The findings on SBCEs from a group of patients with histologically proven RCD (n=23) were compared to the findings from patients with uncomplicated coeliac disease (n=48). All patients had concurrent duodenal histology and serology taken at the time of SBCE.Results: Patients with RCD had a greater extent of mucosal involvement on SBCE than patients with uncomplicated CD (42.4±34.1% vs 9.7±21.7%, p=0.0001). Following treatment with steroids and / or immunosuppressants, patients with RCD had an improvement in the extent of affected small bowel mucosa (42.4±34.1% vs 26.4±28.9% p=0.012). There was no statistical difference in histology and serology taken at the time of the first and second SBCE in patients with RCD.Conclusions: Our study suggests that SBCE is valuable in documenting the extent of mucosal involvement in patients with RCD. This is the first study that delineates the value of a second look SBCE to assess improvement in the extent of disease in the small bowel following treatment.

scholarly journals Safety and Efficacy of Small Bowel Examination by Capsule Endoscopy for Patients before Liver Transplantation

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Kawano Seiji ◽  
Takaki Akinobu ◽  
Iwamuro Masaya ◽  
Yasunaka Tetsuya ◽  
Kono Yoshiyasu ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Small Bowel ◽  
Transit Time ◽  
Capsule Endoscopy ◽  
High Rate ◽  
Clinical Trial Registry ◽  
Safety And Efficacy ◽  
Red Color ◽  
History Of ◽  
The Mean

Background and Aims. Gastrointestinal surveillance is a requirement prior to liver transplantation (LT), but small intestine examination is not generally undertaken. The aim of the present study was to evaluate the safety and efficacy of capsule endoscopy (CE) for patients with end-stage liver disease.Methods. 31 patients who needed LT were enrolled, and 139 patients who underwent CE over the same period of time acted as controls.Results. Frequency of successful achievement of evaluation of the full length of the small bowel, the mean gastric transit time, and the mean small bowel transit time were not significantly different between the two groups. Abnormalities in the small bowel were found in 26 patients. Comparative analysis revealed that history of EV rupture, history of EV treatment, red color sign of EV, and presence of PHG or HCC were significantly associated with patients with >2 two such findings (high score group).Conclusions. Small bowel examination by CE in patients before liver transplantation could be performed safely and is justified by the high rate of abnormal lesions detected particularly in patients with history of EV therapy or bleeding, red color sign, and presence of PHG or HCC. This study was registered in the UMIN Clinical Trial Registry (UMIN000008672).

Video Capsule Endoscopy and Histology for Small-Bowel Mucosa Evaluation: A Comparison Performed by Blinded Observers

2006 ◽  
Vol 4 (8) ◽  
pp. 998-1003 ◽  
Author(s):  
Federico Biagi ◽  
Emanuele Rondonotti ◽  
Jonia Campanella ◽  
Federica Villa ◽  
Paola Ilaria Bianchi ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Video Capsule Endoscopy ◽  
Small Bowel Mucosa ◽  
Bowel Mucosa

Accuracy of automatic detection of small-bowel mucosa by second-generation colon capsule endoscopy

2012 ◽  
Vol 76 (6) ◽  
pp. 1170-1174 ◽  
Author(s):  
Samuel Adler ◽  
Cesare Hassan ◽  
Yoav Metzger ◽  
Yishai Sompolinsky ◽  
Cristiano Spada
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Second Generation ◽  
Automatic Detection ◽  
Colon Capsule Endoscopy ◽  
Colon Capsule ◽  
Small Bowel Mucosa ◽  
Bowel Mucosa

Laparotomy for Abdominal Stab Wound With Combined Omental and Organ Evisceration: 10-Year Experience From a Major Trauma Centre in South Africa

2021 ◽  
pp. 000313482110318
Author(s):  
Victor Kong ◽  
Cynthia Cheung ◽  
Nigel Rajaretnam ◽  
Rohit Sarvepalli ◽  
William Xu ◽  
...  
Keyword(s):  
South Africa ◽  
Small Bowel ◽  
Large Bowel ◽  
Major Trauma ◽  
Stab Wound ◽  
Length Of Hospital Stay ◽  
Trauma Centre ◽  
Major Trauma Centre ◽  
The Mean ◽  
Overall Mortality

Introduction Combined omental and organ evisceration following anterior abdominal stab wound (SW) is uncommon and there is a paucity of literature describing the management and spectrum of injuries encountered at laparotomy. Methods A retrospective study was undertaken on all patients who presented with anterior abdominal SW involving combined omental and organ evisceration who underwent laparotomy over a 10-year period from January 2008 to January 2018 at a major trauma centre in South Africa. Results A total of 61 patients were eligible for inclusion and all underwent laparotomy: 87% male, mean age: 29 years. Ninety-two percent (56/61) had a positive laparotomy whilst 8% (5/61) underwent a negative procedure. Of the 56 positive laparotomies, 91% (51/56) were considered therapeutic and 9% (5/56) were non-therapeutic. In addition to omental evisceration, 59% (36/61) had eviscerated small bowel, 28% (17/61) had eviscerated colon and 13% (8/61) had eviscerated stomach. A total of 92 organ injuries were identified. The most commonly injured organs were small bowel, large bowel and stomach. The overall complication rate was 11%. Twelve percent (7/61) required intensive care unit admission. The mean length of hospital stay was 9 days. The overall mortality rate for all 61 patients was 2%. Conclusions The presence of combined omental and organ evisceration following abdominal SW mandates laparotomy. The small bowel, large bowel and stomach were the most commonly injured organs in this setting.

Sign in / Sign up

Export Citation Format

Share Document