Abstract
Colon capsule endoscopy was approved for reimbursement under the national health insurance system of Japan in 2014. At our hospital, specialized mainly in renal, hepatic, and diabetic diseases, we have been performing colon capsule endoscopy since December 2014. Dialysis patients are potentially susceptible to bleeding because of the fragile intestine, impaired platelet function, or oral administration of nonsteroidalanti inflammatory drugs (NSAIDs) or anticoagulants. 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 all 20 patients (including four dialysis patients), both capsule transit time and duration of capsule endoscopy were shortened. The results are presented and briefly discussed in this report.
Highlights
Colon capsule endoscopy was approved for reimbursement under the national health insurance system of Japan in 2014
The capsule excretion rate after recommended bowel preparation reportedly ranges from 70% to 90%, and administration of boosters is necessary
We evaluated the efficacy of bowel preparation with castor oil for improving the capsule excretion rate
Summary
Colon capsule endoscopy [1] 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. The capsule excretion rate after recommended bowel preparation reportedly ranges from 70% to 90%, and administration of boosters is necessary. For dialysis patients [2] [3], liquid loading is a problem [4]-[9]. The capsule excretion rate after recommended bowel preparation was 53.3% in dialysis patients. We evaluated the efficacy of bowel preparation with castor oil for improving the capsule excretion rate.
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