Clinical Gastroenterology Vol.30 No.13(4-1)

Theme Capsule Endoscopy -- Current States and the Latest Developments
Title A New Type of Colon Capsule Endoscopy : Appropriate Use of Bowel Preparation and Booster
Publish Date 2015/12
Author Yasuo Kakugawa Endoscopy Division, National Cancer Center, National Cancer Center Hospital / Cancer Screening Division, Research Center for Cancer Prevention and Screening, National Cancer Center, National Cancer Center Hospital
Author Kazuya Inoki Endoscopy Division, National Cancer Center, National Cancer Center Hospital
Author Hiroyuki Takamaru Endoscopy Division, National Cancer Center, National Cancer Center Hospital
Author Minori Matsumoto Endoscopy Division, National Cancer Center, National Cancer Center Hospital / Cancer Screening Division, Research Center for Cancer Prevention and Screening, National Cancer Center, National Cancer Center Hospital
Author Takahisa Matsuda Endoscopy Division, National Cancer Center, National Cancer Center Hospital / Cancer Screening Division, Research Center for Cancer Prevention and Screening, National Cancer Center, National Cancer Center Hospital
Author Yutaka Saito Endoscopy Division, National Cancer Center, National Cancer Center Hospital
[ Summary ] PillCam colon capsule endoscopy (CCE) is a very recent diagnostic technology designed to explore the colorectum. CCE‒2, referring to second‒generation CCE, has a sensitivity of 84‒94 % for detecting polyps with a diameter of > 6 mm. Since colon cleanliness is essential for optimal visualization during colon capsule endoscopy, adequate bowel preparation may require as much as 6 L of fluid intake over two days, which may be considered excessive for some patients. Reducing the volume of fluid for bowel preparation is an important requirement in increasing patient acceptance of CCE. In this section, we explain how a laxative can be effectively used in bowel preparation to achieve high quality visualization and how it can be used as a booster to ensure that the capsule is excreted within its battery life period.
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