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- W2328782564 abstract "Video capsule endoscopy (VCE) is an established diagnostic tool for the investigation of small bowel (SB) pathology. Bowel preparation prior to VCE may improve visualization, transit time, and diagnostic yield. We aimed to evaluate the real-life experience comparing two different preparation protocols in patients undergoing SB VCE.We performed a retrospective analysis of prospectively collected data from SB VCE procedures, performed in two tertiary care medical centers in Israel. VCE procedures performed at Sheba Medical Center used a 2-L polyethylene glycol (PEG) bowel preparation (n=360) while VCEs performed at Rambam Health Care campus used a clear liquid diet plus 12-h fast protocol (n=500). A dichotomous preparation scale (adequate, inadequate) was used to classify cleansing quality. Data collection included patient and procedural details. The proportion of VCE procedures with adequate bowel preparation and the overall positive SB findings in the two different bowel preparation protocols were evaluated.SB completion rates were higher in the PEG protocol (96% vs. 83%, P<0.001) and SB passage time was significantly faster in the PEG protocol (mean 217±73 vs. 238±77 min, P<0.001). Bowel preparation quality was similar between groups (8% vs. 7% inadequate preparation, P=0.591). Overall positive SB findings were similar between the two groups (57% clear liquid fasting only vs. 51% PEG protocol, P=0.119).In this large cohort, a 2-L PEG protocol had similar preparation quality and diagnostic yield compared with clear liquid fasting." @default.
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- W2328782564 date "2016-01-01" @default.
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- W2328782564 title "Bowel preparation in real-life small bowel capsule endoscopy: a two-center experience" @default.
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- W2328782564 doi "https://doi.org/10.20524/aog.2016.0012" @default.
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