Article 1:
Value of the diving method for capsule endoscopy in the examination of small-intestinal disease: a prospective randomized controlled trial
Zeng et al.
Gastrointest Endosc. 2021 Oct;94(4):795-802.e1.
DOI: doi: 10.1016/j.gie.2021.04.018
PDF: Article
Summary: Video capsule endoscopy (VCE) is limited by poor image quality and incomplete small-bowel transit. Previously, the authors showed that instructing patients to drink clear water intermittently during, rather than before, VCE examination improved the image quality, completion rate, and lesion detection rate without significantly increasing patient discomfort.34 We named this protocol the “diving method.” This study was designed to evaluate the diving method for VCE in the examination of small-intestinal disease. From July 2017 to September 2017, eligible patients were randomly assigned to 2 groups, the diving group and the control group. For the diving group, 500 mL of water was administered every hour when the capsule reached the small bowel. The primary outcomes were image quality and positive findings. Secondary outcomes were the completion rate of examination, gastric transit time (GTT), small-bowel transit time (SBTT), lesion detection rate, adverse events, and patient satisfaction. The diving method for VCE examination effectively improves the endoscopic view in the proximal and middle thirds of the small bowel and the positive findings in the distal small intestine and increases the completion rate.
Presenter: Lauren Phelan
