Coffee Enema for Preparation for Small Bowel Video Capsule Endoscopy: A Pilot Study

Clinical Nutrition Research 2014년 3권 2호 p.134 ~ p.141

김은선(Kim Eun-Sun) - Korea University College of Medicine Department of Internal Medicine
전훈재(Chun Hoon-Jai) - Korea University College of Medicine Department of Internal Medicine
금보라(Keum Bo-Ra) - Korea University College of Medicine Department of Internal Medicine
서연석(Seo Yeon-Seok) - Korea University College of Medicine Department of Internal Medicine
진윤태(Jeen Yoon-Tae) - Korea University College of Medicine Department of Internal Medicine
이홍식(Lee Hong-Sik) - Korea University College of Medicine Department of Internal Medicine
엄순호(Um Soon-Ho) - Korea University College of Medicine Department of Internal Medicine
김창덕(Kim Chang-Duck) - Korea University College of Medicine Department of Internal Medicine
류호상(Ryu Ho-Sang) - Korea University College of Medicine Department of Internal Medicine

Abstract

Coffee enemas are believed to cause dilatation of bile ducts and excretion of bile through the colon wall. Proponents of coffee enemas claim that the cafestol palmitate in coffee enhances the activity of glutathione S-transferase, an enzyme that stimulates bile excretion. During video capsule endoscopy (VCE), excreted bile is one of the causes of poor preparation of the small bowel. This study aimed to evaluate the feasibility and effect of coffee enema for preparation of the small bowel during VCE. In this pilot study, 17 of 34 patients were assigned to the coffee enema plus polyethylene glycol (PEG) 2 L ingestion group, whereas the 17 remaining control patients received 2 L of PEG only. The quality of bowel preparation was evaluated in the two patient groups. Bowel preparations in the proximal segments of small bowel were not differ between two groups. In the mid and distal segments of the small intestine, bowel preparations tend to be better in patients who received coffee enemas plus PEG than in patients who received PEG only. The coffee enema group did not experience any complications or side effects. Coffee enemas may be a feasible option, and there were no clinically significant adverse events related to coffee enemas. More prospective randomized studies are warranted to improve small bowel preparation for VCE.

키워드

Coffee, Enema, Polyethylene glycol, Small bowel preparation, Video capsule endoscopy
원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) KoreaMed 
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 preparations in the proximal segments of small bowel were not differ between two groups. In the mid and distal segments of the small intestine, bowel preparations tend to be better in patients who received coffee enemas plus PEG than in patients who received PEG only.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
DOI
KCD코드
ICD 03
건강보험코드