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Gastroenterology Research and Practice
Volume 2016 (2016), Article ID 6802810, 7 pages
http://dx.doi.org/10.1155/2016/6802810
Review Article

Optimal Bowel Preparation for Video Capsule Endoscopy

1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Republic of Korea
2Department of Internal Medicine, Inje University College of Medicine, Seoul, Republic of Korea
3Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Republic of Korea

Received 30 June 2015; Accepted 22 October 2015

Academic Editor: Anastasios Koulaouzidis

Copyright © 2016 Hyun Joo Song et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

During video capsule endoscopy (VCE), several factors, such as air bubbles, food material in the small bowel, and delayed gastric and small bowel transit time, influence diagnostic yield, small bowel visualization quality, and cecal completion rate. Therefore, bowel preparation before VCE is as essential as bowel preparation before colonoscopy. To date, there have been many comparative studies, consensus, and guidelines regarding different kinds of bowel cleansing agents in bowel preparation for small bowel VCE. Presently, polyethylene glycol- (PEG-) based regimens are given primary recommendation. Sodium picosulphate-based regimens are secondarily recommended, as their cleansing efficacy is less than that of PEG-based regimens. Sodium phosphate as well as complementary simethicone and prokinetics use are considered. In this paper, we reviewed previous studies regarding bowel preparation for small bowel VCE and suggested optimal bowel preparation of VCE.