Bowel Preparation Clinical Trial
Official title:
Split-dose Versus Single-dose Polyethylene Glycol Regimen for Capsule Endoscopy Is Timing of Preparation for Capsule Endoscopy the Key for the Best Small-bowel Cleansing?
To compare the small bowel cleanliness for wireless capsule endoscopy using two different Polyethylene Glycol administration schedules (before the wireless capsule endoscopy ingestion versus in a split-dose fashion).
The image quality obtained from the wireless capsule endoscopy improves its diagnostic
yield. The amount of visualized mucosa is in direct correlation with the diagnostic yield.
Nonetheless, frequently, the quality of the image obtained is hampered by the presence of
bubbles, debris, bile and enteric fluid. Therefore many efforts have been putted in order to
eliminate this factor such as the use of prokinetics, simethicone and bowel purgatives. The
latter (namely the polyethylene glycol - PEG - solution) has accumulated evidence and is,
therefore, recommended by the last European guidelines. Usually, the cleansing starts and
finish in the day before the capsule endoscopy ingestion.
We hypothesized that, similarly to what had become evidence to large bowel cleansing, a
shorter gap between the polyethylene glycol intake and the exam could provide a better
capsule endoscopy image quality and therefore gauging our diagnostic yield.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Diagnostic
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