Endoscopy 2019; 51(04): S255
DOI: 10.1055/s-0039-1681941
ESGE Days 2019 ePosters
Friday, April 5, 2019 09:00 – 17:00: Stomach and small intestine ePosters
Georg Thieme Verlag KG Stuttgart · New York

COMPARISON OF TWO DIFFERENT CLEANSING PROTOCOLS FOR SMALL BOWEL CAPSULE ENDOSCOPY

C Carretero
1   Gastroenterology, University Clinic of Navarra, Pamplona, Spain
,
C Prieto de Frias
1   Gastroenterology, University Clinic of Navarra, Pamplona, Spain
,
M Olcoz
2   University of Navarra, Pamplona, Spain
,
A Bojorquez
1   Gastroenterology, University Clinic of Navarra, Pamplona, Spain
,
M Munoz-Navas
1   Gastroenterology, University Clinic of Navarra, Pamplona, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

Also available at
 

Aims: Introduction:

ESGE recently published a technical review on capsule endoscopy, where the recommendation is to use cleansing protocols before small bowel capsule endoscopy. Nevertheless, the optimal timing for taking purgatives is yet to be established.

Aim:

To compare two different cleansing strategies before capsule endoscopy.

Methods:

We have retrospectively reviewed small bowel capsule procedures performed in 2 different years. Group A used 2L of PEG the evening before capsule while group B used 1L of Moviprep before capsule ingestion.

Results:

Group A included 61 patients, 58 in group B. Demographic characteristics were similar in both groups, although there were more inpatients in group A (74.44% vs. 57.58%). Mean total transit time was 222.38 min for group A vs. 224.96 for group B (p = n.s). Adequate cleansing level was described in 93.33% of group A and 94.64% in group B (p = n.s). Regarding the percentage of complete procedures (capsule reaching the cecum), we found 90.26% in group A and 81.03% in group B (p = n.s).

Conclusions:

The use of 2L of PEG the day before compared to 1L of Moviprep the same day of capsule ingestion did not make any difference in cleansing level or total transit time. The number of complete procedures was slightly higher in the PEG group however the differences were not statistically significant. Our results suggest that the use of 1L of Moviprep before capsule ingestion is not inferior to 2L of PEG the day before. As low volume laxatives seem to be better tolerated, this protocol can be considered a good option for small bowel capsule endoscopy.