Year 2018 / Volume 110 / Number 10
Original
Predictive factors of an incomplete examination and inadequate small-bowel cleanliness during capsule endoscopy

605-611

DOI: 10.17235/reed.2018.4834/2017

Ana Ponte, Rolando Pinho, Adélia Rodrigues, Joana Silva, Jaime Rodrigues, Mafalda Sousa, João Carvalho,

Abstract
Aim: the aim of this study was to determine predictive factors for an incomplete capsule endoscopy and an inadequate small-bowel preparation in capsule endoscopy. Methods: predictive factors for an incomplete capsule endoscopy were evaluated. Therefore, all patients with incomplete examinations performed between June 2009 and February 2016 were retrospectively included and compared with all patients with complete procedures performed between January 2014 and February 2016. Predictive factors of an inadequate small-bowel cleanliness were assessed. Therefore, the subset of patients that underwent capsule endoscopy between January 2014 and February 2016, including incomplete examinations, were evaluated. Small-bowel cleanliness was evaluated according to a quantitative index and a qualitative evaluation scale. Data with regard to patient and capsule endoscopy was analyzed. Results: 31 incomplete and 122 complete capsule endoscopies were included in the analysis of predictive factors for an incomplete capsule endoscopy. The degree of dependency (OR = 4.67; p = 0.028), performance of a capsule endoscopy in hospitalized patients (OR = 4.04; p = 0.006) and prior abdominal surgery (OR = 3.45; p = 0.012) were independent predictive factors of an incomplete procedure. 130 patients were included in the analysis of predictive factors for an inadequate small-bowel cleanliness. The mean quantitative index value was 7.3 (s.d. ± 2.3); 41.6% and 58.5% of capsule endoscopies were classified as poor-fair and good/excellent respectively, according to the qualitative evaluation. Independent predictive factors for an inadequate preparation according to the quantitative index included male gender (Beta = -0.79; p = 0.028), small-bowel transit time (Beta = -0.007; p < 0.0001) and cardiac disease (Beta = -1.29; p = 0.001). Associated factors according to the qualitative evaluation included male gender (OR = 0.406; p = 0.027) and small-bowel transit time (SBTT) (OR = 0.993; p < 0.0001). Conclusion: inpatient status, higher degrees of dependency and abdominal surgery are predictive factors for an incomplete capsule endoscopy; male gender and higher small-bowel transit time are predictive factors for an inadequate cleanliness.
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References
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13) Wei W, Ge ZZ, Lu H, et al. Purgative bowel cleansing combined with simethicone improves capsule endoscopy imaging. Am J Gastroenterol. 2008;103:77-82.
14) Brotz C, Nandi N, Conn M, et al. A validation study of 3 grading systems to evaluate small-bowel cleansing for wireless capsule endoscopy: a quantitative index, a qualitative evaluation, and an overall adequacy assessment. Gastrointest Endosc. 2009;69:262-70, 270.e1.
15) Goyal J, Goel A, McGwin G, et al. Analysis of a grading system to assess the quality of small-bowel preparation for capsule endoscopy: in search of the Holy Grail. Endosc Int Open. 2014;2:E183-6.
16) Park SC, Keum B, Hyun JJ, et al. A novel cleansing score system for capsule endoscopy. World J Gastroenterol. 2010 Feb 21;16(7):875-80. PMID: 20143467 PMCID: PMC2825335
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19) Spada C, Riccioni ME, Familiari P, et al. Polyethylene glycol plus simethicone in small-bowel preparation for capsule endoscopy. Dig Liver Dis. 2010;42:365-70.
20) Hooks SB 3rd, Rutland TJ, Di Palma JA. Lubiprostone neither decreases gastric and small-bowel transit time nor improves visualization of small bowel for capsule endoscopy: a double-blind, placebo-controlled study. Gastrointest Endosc. 2009;70:942-6.
21) Van Weyenberg SJ, De Leest HT, Mulder CJ. Description of a novel grading system to assess the quality of bowel preparation in video capsule endoscopy. Endoscopy. 2011;43:406-11.
22) Pinho R, Ponte A, Rodrigues A, et al. Long-term rebleeding risk following endoscopic therapy of small-bowel vascular lesions with device-assisted enteroscopy. Eur J Gastronterol Hepatol. 2016;28:479-85.
23) Höög CM, Bark LÅ, Arkani J, et al. Capsule retentions and incomplete capsule endoscopy examinations: an analysis of 2300 examinations. Gastroenterol Res Pract. 2012;2012:518718.
24) Lee MM, Jacques A, Lam E, et al. Factors associated with incomplete small bowel capsule endoscopy studies. World J Gastroenterol. 2010;16:5329-33.
25) Chen HB, Huang Y, Chen SY, et al. Small bowel preparations for capsule endoscopy with manitol and simethicone: a prospective, randomized, clinical trial. J Clin Gastroenterol. 2011;45:337-41.
26) Selby W. Complete small-bowel transit in patients undergoing capsule endoscopy: determining factors and improvement with metoclopramide. Gastrointest Endosc. 2005;61:80-5.
27) Fisher LR, Hasler WL. New vision in video capsule endoscopy: current status and future directions. Nat Rev Gastroenterol Hepatol. 201;9:392-405.
28) Kwack WG, Lim YJ. Current Status and Research into Overcoming Limitations of Capsule Endoscopy. Clin Endosc. 2016;49:8-15.
29) Yee R, Manoharan S, Hall C, et al. Optimizing bowel preparation for colonoscopy: what are the predictors of an inadequate preparation?. Am J Surg. 2015;209:787-92; discussion 792.
30) Romero RV, Mahadeva S. Factors influencing quality of bowel preparation for colonoscopy. World J Gastrointest Endosc. 2013;5:39-46.
31) Rosa BJ, Barbosa M, Magalhães J, et al. Oral purgative and simethicone before small bowel capsule endoscopy. World J Gastrointest Endosc. 2013;5:67-73.
32) Lapalus MG, Ben Soussan E, Saurin JC, et al. Capsule endoscopy and bowel preparation with oral sodium phosphate: a prospective randomized controlled trial. Gastrointest Endosc. 2008;67:1091-6.
33) Song HJ, Moon JS, Shim KN. Optimal Bowel Preparation for Video Capsule Endoscopy. Gastroenterol Res Pract. 2016;2016:6802810.
34) Song HJ, Moon JS, Do JH, et al. Guidelines for bowel preparation before video capsule endoscopy. Clin Endosc. 2013;46:147-54.
1) Pennazio M, Spada C, Eliakim R, et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2015;47:352-76.
2) Ladas SD, Triantafyllou K, Spada C, et al. European Society of Gastrointestinal Endoscopy (ESGE): recommendations (2009) on clinical use of videocaspule endoscopy to investigate small-bowel, esophageal and colonic diseases. Endoscopy. 2010;42:220-7.
3) Westerhof J, Weersma RK, Koornstra JJ. Risk factors for incomplete small-bowel capsule endoscopy. Gastrointest Endosc. 2009; 69:74-80
4) van Tuyl SA, den Ouden H, Stolk MF, et al. Optimal preparation for video capsule endoscopy: a prospective, randomized, single-blind study. Endoscopy. 2007;39:1037-40.
5) Kantianis A, Karagiannis S, Liatsos C, et al. Comparison of two schemes of small bowel preparation for capsule endoscopy with polyethylene glycol: a prospective, randomized single-blind study. Eur J Gastroenterol Hepatol. 2009;21:1140-4.
6) Viazis N, Sgouros S, Papaxoinis K, et al. Bowel preparation increases the diagnostic yield of capsule endoscopy: a prospective, randomized, controlled study. Gastrointest Endosc. 2004;60:534-8.
7) Pinho R, Mascarenhas-Saraiva M, Mão-de-Ferro S, et al. Multicenter survey on the use of device-assisted enteroscopy in Portugal. United European Gastroenterol J. 2016;4:264-74.
8) Cotter J, de Castro FD, Magalhães J, et al. Finding the solution for incomplete small bowel capsule endoscopy. World J Gastrointest Endosc. 2013; 5:595-9.
9) Ribeiro I, Pinho R, Rodrigues A, et al. Obscure gastrointestinal bleeding: Which factors are associated with positive capsule endoscopy findings? Rev Esp Enferm Dig. 2015; 107:334-9.
10) Park SC, Keum B, Seo YS, et al. Effect of bowel preparation with polyethylene glycol on quality of capsule endoscopy. Dig Dis Sci. 2011;56:1769-75.
11) Ninomiya K, Yao K, Matsui T, et al. Effectiveness of magnesium citrate as preparation for capsule endoscopy: a randomized, prospective, open-label, inter-group trial. Digestion. 2012;86:27-33.
12) Lim YJ, Lee OY, Jeen YT, et al. Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry. Clin Endosc. 2015; 48:399-404.
13) Wei W, Ge ZZ, Lu H, et al. Purgative bowel cleansing combined with simethicone improves capsule endoscopy imaging. Am J Gastroenterol. 2008;103:77-82.
14) Brotz C, Nandi N, Conn M, et al. A validation study of 3 grading systems to evaluate small-bowel cleansing for wireless capsule endoscopy: a quantitative index, a qualitative evaluation, and an overall adequacy assessment. Gastrointest Endosc. 2009;69:262-70, 270.e1.
15) Goyal J, Goel A, McGwin G, et al. Analysis of a grading system to assess the quality of small-bowel preparation for capsule endoscopy: in search of the Holy Grail. Endosc Int Open. 2014;2:E183-6.
16) Park SC, Keum B, Hyun JJ, et al. A novel cleansing score system for capsule endoscopy. World J Gastroenterol. 2010 Feb 21;16(7):875-80.
17) Rondonotti E, Villa F, Mulder CJ, et al. Small bowel capsule endoscopy in 2007: indications, risks and limitations. World J Gastroenterol. 2007;13:6140-9.
18) Pons Beltrán V, González Suárez B, González Asanza, et al. Evaluation of different bowel preparations for small bowel capsule endoscopy: a prospective, randomized, controlled study. Dig Dis Sci. 2011;56:2900-5.
19) Spada C, Riccioni ME, Familiari P, et al. Polyethylene glycol plus simethicone in small-bowel preparation for capsule endoscopy. Dig Liver Dis. 2010;42:365-70.
20) Hooks SB 3rd, Rutland TJ, Di Palma JA. Lubiprostone neither decreases gastric and small-bowel transit time nor improves visualization of small bowel for capsule endoscopy: a double-blind, placebo-controlled study. Gastrointest Endosc. 2009;70:942-6.
21) Van Weyenberg SJ, De Leest HT, Mulder CJ. Description of a novel grading system to assess the quality of bowel preparation in video capsule endoscopy. Endoscopy. 2011;43:406-11.
22) Pinho R, Ponte A, Rodrigues A, et al. Long-term rebleeding risk following endoscopic therapy of small-bowel vascular lesions with device-assisted enteroscopy. Eur J Gastronterol Hepatol. 2016;28:479-85.
23) Höög CM, Bark LÅ, Arkani J, et al. Capsule retentions and incomplete capsule endoscopy examinations: an analysis of 2300 examinations. Gastroenterol Res Pract. 2012;2012:518718.
24) Lee MM, Jacques A, Lam E, et al. Factors associated with incomplete small bowel capsule endoscopy studies. World J Gastroenterol. 2010;16:5329-33.
25) Chen HB, Huang Y, Chen SY, et al. Small bowel preparations for capsule endoscopy with manitol and simethicone: a prospective, randomized, clinical trial. J Clin Gastroenterol. 2011;45:337-41.
26) Selby W. Complete small-bowel transit in patients undergoing capsule endoscopy: determining factors and improvement with metoclopramide. Gastrointest Endosc. 2005;61:80-5.
27) Fisher LR, Hasler WL. New vision in video capsule endoscopy: current status and future directions. Nat Rev Gastroenterol Hepatol. 201;9:392-405.
28) Kwack WG, Lim YJ. Current Status and Research into Overcoming Limitations of Capsule Endoscopy. Clin Endosc. 2016;49:8-15.
29) Yee R, Manoharan S, Hall C, et al. Optimizing bowel preparation for colonoscopy: what are the predictors of an inadequate preparation?. Am J Surg. 2015;209:787-92; discussion 792.
30) Romero RV, Mahadeva S. Factors influencing quality of bowel preparation for colonoscopy. World J Gastrointest Endosc. 2013;5:39-46.
31) Rosa BJ, Barbosa M, Magalhães J, et al. Oral purgative and simethicone before small bowel capsule endoscopy. World J Gastrointest Endosc. 2013;5:67-73.
32) Lapalus MG, Ben Soussan E, Saurin JC, et al. Capsule endoscopy and bowel preparation with oral sodium phosphate: a prospective randomized controlled trial. Gastrointest Endosc. 2008;67:1091-6.
33) Song HJ, Moon JS, Shim KN. Optimal Bowel Preparation for Video Capsule Endoscopy. Gastroenterol Res Pract. 2016;2016:6802810.
34) Song HJ, Moon JS, Do JH, et al. Guidelines for bowel preparation before video capsule endoscopy. Clin Endosc. 2013;46:147-54.
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Ponte A, Pinho R, Rodrigues A, Silva J, Rodrigues J, Sousa M, et all. Predictive factors of an incomplete examination and inadequate small-bowel cleanliness during capsule endoscopy. 4834/2017


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Publication history

Received: 08/01/2017

Accepted: 29/04/2018

Online First: 12/06/2018

Published: 01/10/2018

Article revision time: 472 days

Article Online First time: 520 days

Article editing time: 631 days


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