Guidelines for Bowel Preparation before Video Capsule Endoscopy

대한소화기내시경학회지 2013년 46권 2호 p.147 ~ p.154

송현주(Song Hyun-Joo) - Jeju National University School of Medicine Department of Internal Medicine
문정섭(Moon Jeong-Seop) - Inje University College of Medicine Department of Internal Medicine
도재혁(Do Jae-Hyuk) - Chung-Ang University College of Medicine Department of Internal Medicine
차인혜(Cha In-Hye) - Inje University College of Medicine Department of Internal Medicine
(Yang Chang-Hun) - Dongguk University College of Medicine Dongguk University Gyeongju Hospital Department of Internal Medicine
최명규(Choi Myung-Gyu) - Catholic University College of Medicine Department of Internal Medicine
진윤태(Jeen Yoon-Tae) - Korea University College of Medicine Department of Internal Medicine
김현정(Kim Hyun-Jung) - Korea University College of Medicine Department of Preventive Medicine

Abstract

The preparation for video capsule endoscopy (VCE) of the bowel suggested by manufacturers of capsule endoscopy systems consists only of a clear liquid diet and an 8-hour fast. While there is evidence for a benefit from bowel preparation for VCE, so far there is no domestic consensus on the preparation regimen in Korea. Therefore, we performed this study to recommend guidelines for bowel preparation before VCE. The guidelines on VCE were developed by the Korean Gut Image Study Group, part of the Korean Society of Gastrointestinal Endoscopy. Four key questions were selected. According to our guidelines, bowel preparation with polyethylene glycol (PEG) solution enhances small bowel visualization quality (SBVQ) and diagnostic yield (DY), but it has no effect on cecal completion rate (CR). Bowel preparation with 2 L of PEG solution is similar to that with 4 L of PEG in terms of the SBVQ, DY, and CR of VCE. Bowel preparation with fasting or PEG solution combined with simethicone enhances the SBVQ, but it does not affect the CR of VCE. Bowel preparation with prokinetics does not enhance the SBVQ, DY, or CR of VCE.

키워드

Capsule endoscopy, Bowel preparation, Guideline
원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
Bowel preparation with PEG solution enhances the SBVQ, and DY of small bowel VCE, but it does not affect the VCE CR (evidence grade, moderate; recommendation grade, strong).
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
KCD코드
ICD 03
건강보험코드