Evidence map›Paper›PMID 34574051›Full record

ReviewDiagnostics (Basel, Switzerland)2021

Lavage, Simethicone, and Prokinetics-What to Swallow with a Video Capsule.

Martin Keuchel, Niehls Kurniawan, Marc Bota, Peter Baltes

Open access · goldAbstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Clinical utility of colon capsule endoscopy: a moving target?Therapeutic advances in gastroenterology · 2023
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Martin KeuchelAgaplesion Bethesda Krankenhaus Bergedorf, Academic Teaching Hospital of the University of Hamburg, Clinic for Internal Medicine, 21029 Hamburg, Germany.
Niehls KurniawanAgaplesion Bethesda Krankenhaus Bergedorf, Academic Teaching Hospital of the University of Hamburg, Clinic for Internal Medicine, 21029 Hamburg, Germany.
Marc BotaAgaplesion Bethesda Krankenhaus Bergedorf, Academic Teaching Hospital of the University of Hamburg, Clinic for Internal Medicine, 21029 Hamburg, Germany.ORCID 0000-0003-0265-8642
Peter BaltesAgaplesion Bethesda Krankenhaus Bergedorf, Academic Teaching Hospital of the University of Hamburg, Clinic for Internal Medicine, 21029 Hamburg, Germany.
Universität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The development of new capsules now allows endoscopic diagnosis in all segments of the gastrointestinal tract and comes with new needs for differentiated preparation regimens. Although the literature is steadily increasing, the results of the conducted trials on preparation are sometimes conflicting. The ingestion of simethicone before gastric and small bowel capsule endoscopy for prevention of air bubbles is established. The value of a lavage before small bowel capsule endoscopy (SBCE) is recommended, although not supported by all studies. Ingestion in the morning before the procedure seems useful for the improvement of mucosa visualization. Lavage after swallowing of the capsule seems to improve image quality, and in some studies also diagnostic yield. Prokinetics has been used with first generation capsules to shorten gastric transit time and increase the rate of complete small bowel visualization. With the massively prolonged battery capacity of the new generation small bowel capsules, prokinetics are only necessary in significantly delayed gastric emptying as documented by a real-time viewer. Lavage is crucial for an effective colon capsule or pan-intestinal capsule endoscopy. Mainly high or low volume polyethylene glycol (PEG) is used. Apart from achieving optimal cleanliness, propulsion of the capsule by ingested boosts is required to obtain a complete passage through the colon within the battery lifetime. Boosts with low volume sodium picosulfate (NaP) or diatrizoate (gastrografin) seem most effective, but potentially have more side effects than PEG. Future research is needed for more patient friendly but effective preparations, especially for colon capsule and pan-intestinal capsule endoscopy.

Indexed as

capsule endoscopycleansingcolondiagnostic yieldlavageNaPoesophaguspan-intestinalPEGprokineticssimethiconesmall bowelstomachvisualization of mucosa

Identifiers

PMID34574051
PMCPMC8465944
OpenAlexW3200498773

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.