Details

Autor(en) / Beteiligte

• Hotta, Naoki

Titel

Usefulness of Castor Oil for Bowel Preparation for Colon Capsule Endoscopy in the Patients on Dialysis: 2750

Ist Teil von

• The American journal of gastroenterology, 2018-10, Vol.113 (Supplement), p.S1528-S1528

Ort / Verlag

New York: Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins

Erscheinungsjahr

2018

Beschreibungen/Notizen

• Introduction: Colon capsule endoscopy was approved for reimbursement under the national health insurance system of Japan in 2014. For this reason, detailed examination by capsule endoscopy appears to be useful. However, the capsule excretion rate after recommended bowel preparation reportedly ranges from 70% to 90%, and administration of boosters is also necessary. For dialysis patients, liquid loading is a problem. In this study, we evaluated the efficacy of bowel preparation with castor oil for improving the capsule excretion rate. In 25 patient both capsule transit time and duration of capsule endoscopy were shortened. The results are presented and briefly discussed in this report. Methods: This study included 24 patients who underwent colon capsule endoscopy at Masuko Memorial Hospital since March 2016.Colon capsule endoscopy was performed with PillCam COLON Capsule (Medtronic, Minneapolis, MN, USA).The recommended protocol of bowel preparation was modified (with administration of castor oil(Himashi Oil:Yoshida PharmacenticalJapan) and success rates of completing entire colon observation were compared. The dose of castor oil was 60 mL at each time point. This study was approved by the ethics committee of my hospital, while we obtained written consent from the participants after providing a thorough explanation of the contents and methods of this study. Results: The success rate of completing entire colon observation was 24 patients were 25(96%) in the study. The maximal water intake of the fluid volume is 3,900 ml. The average consumption in patients on dialysis was an average of (1500-3900)median 3171ml, and the patients of the smallest water intake had 2000 ml two patients. A utility is very high for the patient on dialysis with moisture restrictions. Conclusion: Although the number of patients receiving bowel preparation with castor oil was small, entire colon observation was successful in dialysis patients. Thus, castor oil appears to be useful for bowel preparation for colon capsule endoscopy.