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Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Updated: May 4, 2026

Application of Indocyanine Green Fluorescence Imaging Technology in Laparoscopic Duodenum-Preserving Pancreatic Head Resection
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Finding the solution for incomplete small bowel capsule endoscopy.

José Cotter1, Francisca Dias de Castro1, Joana Magalhães1

  • 1José Cotter, Francisca Dias de Castro, Joana Magalhães, Maria João Moreira, Bruno Rosa, Gastroenterology Department, Centro Hospitalar do Alto Ave, 4835-044 Guimarães, Portugal.

World Journal of Gastrointestinal Endoscopy
|December 26, 2013
PubMed
Summary
This summary is machine-generated.

Real-time viewer (RTV) use and domperidone administration significantly reduced incomplete small bowel capsule endoscopy (SBCE) examinations. This approach improved diagnostic yield without affecting small bowel transit time.

Keywords:
DomperidoneIncomplete examinationProkinetic drugsSmall bowel capsule endoscopy

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Area of Science:

  • Gastroenterology
  • Medical Imaging
  • Endoscopy

Background:

  • Small bowel capsule endoscopy (SBCE) is a valuable tool for diagnosing gastrointestinal conditions.
  • Incomplete examinations due to delayed gastric passage can limit diagnostic yield.
  • Real-time viewer (RTV) and pharmacological agents like domperidone are potential interventions.

Purpose of the Study:

  • To assess if RTV and domperidone reduce incomplete SBCE examinations.
  • To determine if these interventions improve the diagnostic yield of SBCE.
  • To evaluate the impact on gastric passage time and small bowel transit.

Main Methods:

  • Prospective single-center interventional study comparing RTV/domperidone use with a historical control group.
  • Capsule location monitored with RTV one hour post-ingestion.
  • Domperidone administered for delayed gastric passage, with repeated checks and potential endoscopic intervention.
  • Incomplete examination rates and diagnostic yield compared between groups.

Main Results:

  • The RTV group showed a significantly lower rate of incomplete examinations (3.7%) compared to the control group (15.6%).
  • Gastric passage time was longer in patients with incomplete examinations in the control group.
  • Domperidone did not significantly alter small bowel transit time; diagnostic yield showed a non-significant trend towards improvement in the RTV group (49% vs 39%).

Conclusions:

  • Real-time viewer (RTV) use combined with selective domperidone administration significantly decreases incomplete SBCE examinations.
  • This strategy enhances the efficiency of SBCE procedures.
  • No significant impact on small bowel transit time or overall diagnostic yield was observed.