Same‐day colon capsule endoscopy is a viable means to assess unexplored colonic segments after incomplete colonoscopy in selected patients

Autor: Neil Moran, Grainne Holleran, Mary Hussey, Roisin Stack, Claudio Tersaruolo, Deirdre McNamara
Rok vydání: 2018
Předmět:
Zdroj: United European Gastroenterology Journal. 6:1556-1562
ISSN: 2050-6414
2050-6406
Popis: Same-day colon capsule endoscopy (CCE) immediately following incomplete optical colonoscopy (OC) would have a number of advantages for patients, while also presenting unique procedural challenges including the effect of sedation on capsule propulsion and patient tolerance of protracted preparation and fasting.The aim of this article is to prospectively assess the efficacy of same-day CCE after incomplete OC in an unselected patient cohort.This was an observational, prospective, single-centre study of CCE post-incomplete colonoscopies. Patients with an incomplete OC for any reason other than obstruction or inadequate bowel preparation were recruited. CCE was performed after a minimum of a one-hour fast. Once the patient was fully alert, intravenous metoclopramide was administered after capsule ingestion when possible, and a standard CCE booster protocol was then followed. Relevant clinical information was recorded. CCE completion rates, findings and their impact, and adverse events were noted.Fifty patients were recruited, mean age = 57 years and 66% (Same-day CCE is a viable alternative means to assess unexplored segments of the colon after incomplete OC in selected patients.
Databáze: OpenAIRE