TITLE:
The Use of Castor Oil for Bowel Preparation for Colon Capsule Endoscopy
AUTHORS:
Naoki Hotta
KEYWORDS:
Colon Capsule Endoscopy, Dialysis Patients, Castor Oil
JOURNAL NAME:
Open Journal of Medical Imaging,
Vol.6 No.4,
November
3,
2016
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.