Received:31 July 2018,
Published:15 November 2018
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Qiangqiang YANG, Tao DENG, Hong XU, et al. Clinical efficacy of 2 schedules of oral polyethylene glycol solution for bowel preparations before small bowel capsule endoscopy: a multicenter, randomized controlled study[J]. Journal of Third Military Medical University, 2018, 40(21): 1973-1977.
Qiangqiang YANG, Tao DENG, Hong XU, et al. Clinical efficacy of 2 schedules of oral polyethylene glycol solution for bowel preparations before small bowel capsule endoscopy: a multicenter, randomized controlled study[J]. Journal of Third Military Medical University, 2018, 40(21): 1973-1977. DOI: 10.16016/j.1000-5404.201807219.
Objective
2
To compare the intestinal preparation efficacy of taking 2 L polyethylene glycol (PEG) solution in 2 and 4 h before small bowel capsule endoscopy (SBCE) in order to explore the optimal time.
Methods
2
A multicenter
randomized controlled trial was conducted in 3 hospital during January 2016 and June 2018. According to our inclusion and exclusion criteria
totally 160 patients were enrolled
and then randomly assigned into 2 groups at a ratio of 1 :1 and given a schedule of oral administration of 2 L PEG in 4 or 6 h before SBCE
respectively. The main evaluation indexes were the excellent rate of small bowel visualization quality (SBVQ)
and the secondary ones included diagnostic yield
complete rate of total small intestine
gastric transit time
and small bowel transit time.
Results
2
The 4 h group obtained significantly higher excellent rate of SBVQ [(65.8±17.4)%
vs
(59.3±17.3)%
P
=0.034
]
and shorter small bowel transit time (269.1±115.3
vs
313.9±104.7 min
P
=0.019) when compared with the 6 h group. What's more
the diagnostic yield
complete rate of total small intestine and gastric transit time were 70.1% (54/77)
86.7%(66/77) and 38.0(19.0~89.5) min respectively in the 4 h group
and were 68.4%(54/79)
89.9%(71/79) and 28.5(11.7~50.5) min in the 6 h group
but there were no statistical differences between the 2 groups (
P
>
0.05).
Conclusion
2
The 2 schedules of taking 2 L PEG solution before SBCE have no significant effects on diagnostic yield
complete rate of total small intestine and gastric transit time
but the 4 h scheme presents better SBVQ.
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