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01.05.2009 | ORIGINAL ARTICLE

Abdominal Surgery Affects Small Bowel Transit Time and Completeness of Capsule Endoscopy

verfasst von: Hiroki Endo, Nobuyuki Matsuhashi, Masahiko Inamori, Tomohiko Ohya, Hiroshi Iida, Hironori Mawatari, Yuichi Nozaki, Kyoko Yoneda, Tomoyuki Akiyama, Koji Fujita, Hirokazu Takahashi, Masato Yoneda, Yasunobu Abe, Noritoshi Kobayashi, Hiroyuki Kirikoshi, Kensuke Kubota, Satoru Saito, Atsushi Nakajima

Erschienen in: Digestive Diseases and Sciences | Ausgabe 5/2009

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Abstract

The aim of the study was to evaluate bowel dysmotility in patients with a history of abdominal surgery by measuring both gastric transit time and small bowel transit time during capsule endoscopy and assessing the completeness of the examination. The study included 26 patients who had undergone abdominal surgery (postoperative group) and 52 patients who had not (control group). The capsule reached the cecum in 50.0% of the postoperative group and 80.8% of the control group (P = 0.005). While there was no significant difference in gastric transit time between the two groups (P = 0.882), small bowel transit time was significantly longer in the postoperative group (338.3 ± 119.2 min) than in the control group (266.4 ± 110.8 min, P = 0.010). This is the first study to report that the small bowel transit time during capsule endoscopy is prolonged in patients who had a history of abdominal surgery, resulting in a lower frequency of complete examination.

Scapa E, Jacob H, Lewkowicz S, et al. Initial experience of wireless-capsule endoscopy for evaluating occult gastrointestinal bleeding and suspected small bowel pathology. Am J Gastroenterol. 2002;97:2776–2779. doi:10.1111/j.1572-0241.2002.07021.x.PubMedCrossRef

Costamagna G, Shah SK, Riccioni ME, et al. A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease. Gastroenterology. 2002;123:999–1005. doi:10.1053/gast.2002.35988.PubMedCrossRef

Rey JF, Ladas S, Alhassani A, Kuznetsov K, ESGE Guidelines Committee. European Society of Gastrointestinal Endoscopy (ESGE): video capsule endoscopy: update to guidelines (May 2006). Endoscopy. 2006;38:1047–1053. doi:10.1055/s-2006-944874.PubMedCrossRef

Caddy GR, Moran L, Chong AK, Miller AM, Taylor AC, Desmond PV. The effect of erythromycin on video capsule endoscopy intestinal-transit time. Gastrointest Endosc. 2006;63:262–266. doi:10.1016/j.gie.2005.07.043.PubMedCrossRef

Sturniolo GC, Di Leo V, Vettorato MG, et al. Small bowel exploration by wireless capsule endoscopy: results from 314 procedures. Am J Med. 2006;119:341–347. doi:10.1016/j.amjmed.2005.08.029.PubMedCrossRef

de Jonge WJ, van den Wijngaard RM, The FO, et al. Postoperative ileus is maintained by intestinal immune infiltrates that active inhibitory neural pathways in mice. Gastroenterology. 2003;125:1137–1147. doi:10.1016/S0016-5085(03)01197-1.PubMedCrossRef

Uemura K, Tatewaki M, Harris MB, et al. Magnitude of abdominal incision affects the duration of postoperative ileus in rats. Surg Endosc. 2004;18:606–610. doi:10.1007/s00464-003-8161-6.PubMedCrossRef

Triantafyllou K, Kalantzis C, Papadopoulos AA, et al. Video-capsule endoscopy gastric and small bowel transit time and completeness of the examination in patients with diabetes mellitus. Dig Liver Dis. 2007;39:575–580. doi:10.1016/j.dld.2007.01.024.PubMedCrossRef

Wei W, Ge ZZ, Lu H, Gao YJ, Hu YB, Xiao SD. Effect of mosapride on gastrointestinal transit time and diagnostic yield of capsule endoscopy. J Gastroenterol Hepatol. 2007;22:1605–1608. doi:10.1111/j.1440-1746.2007.05064.x.PubMedCrossRef

10.

Ben-Soussan E, Savoye G, Antonietti M, Ramirez S, Lerebours E, Ducrotté P. Factors that affect gastric passage of video capsule. Gastrointest Endosc. 2005;62:785–790. doi:10.1016/j.gie.2005.07.040.PubMedCrossRef

11.

Fukuda H, Tsuchida D, Koda K, Miyazaki M, Pappas TN, Takahashi T. Inhibition of sympathetic pathways restores postoperative ileus in the upper and lower gastrointestinal tract. J Gastroenterol Hepatol. 2007;22:1293–1299. doi:10.1111/j.1440-1746.2007.04915.x.PubMedCrossRef

12.

Eliakim R, Suissa A, Yassin K, Katz D, Fischer D. Wireless capsule video endoscopy compared to barium follow-through and computerised tomography in patients with suspected Crohn’s disease—final report. Dig Liver Dis. 2004;36:519–522. doi:10.1016/j.dld.2004.03.011.PubMedCrossRef

13.

Mylonaki M, Fritscher-Ravens A, Swain P. Wireless capsule endoscopy: a comparison with push enteroscopy in patients with gastroscopy and colonoscopy negative gastrointestinal bleeding. Gut. 2003;52:1122–1126. doi:10.1136/gut.52.8.1122.PubMedCrossRef

14.

Hartmann D, Schilling D, Bolz G, et al. Capsule endoscopy versus push enteroscopy in patients with occult gastrointestinal bleeding. Z Gastroenterol. 2003;41:377–382. doi:10.1055/s-2003-37313.PubMedCrossRef

15.

Ell C, Remke S, May A, Helou L, Henrich R, Mayer G. The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding. Endoscopy. 2002;34:685–689. doi:10.1055/s-2002-33446.PubMedCrossRef

16.

Swain P, Fritscher-Ravens A. Role of video endoscopy in managing small bowel disease. Gut. 2004;53:1866–1875. doi:10.1136/gut.2003.035576.PubMedCrossRef

17.

Selby W. Complete small-bowel transit in patients undergoing capsule endoscopy: determining factors and improvement with metoclopramide. Gastrointest Endosc. 2005;61:80–85. doi:10.1016/S0016-5107(04)02462-9.PubMedCrossRef

18.

Hoog CM, Lindberg G, Sjoqvist U. Findings in patients with chronic intestinal dysmotility investigated by capsule endoscopy. BMC Gastroenterol. 2007;7:29. doi:10.1186/1471-230X-7-29.PubMedCrossRef

19.

Mair TS, Smith LJ. Survival and complication rates in 300 horses undergoing surgical treatment of colic. Part 3: Long-term complications and survival. Equine Vet J. 2005;37:310–314. doi:10.2746/0425164054529445.PubMedCrossRef

20.

Mochiki E, Asao T, Kuwano H. Gastrointestinal motility after digestive surgery. Surg Today. 2007;37:1023–1032. doi:10.1007/s00595-007-3525-5.PubMedCrossRef

21.

Majewski WD. Long-term outcome, adhesions, and quality of life after laparoscopic and open surgical therapies for acute abdomen: follow-up of a prospective trial. Surg Endosc. 2005;19:81–90. doi:10.1007/s00464-003-9333-0.PubMedCrossRef

22.

Kalff JC, Carlos TM, Schraut WH, Billiar TR, Simmons RL, Bauer AJ. Surgically induced leukocytic infiltrates within the rat intestinal muscularis mediate postoperative ileus. Gastroenterology. 1999;117:378–387. doi:10.1053/gast.1999.0029900378.PubMedCrossRef

23.

Rondonotti E, Herrerias JM, Pennazio M, Caunedo A, Mascarenhas-Saravia M, de Franchis R. Complications, limitations and failures of capsule endoscopy: a review of 733 cases. Gastrointest Endosc. 2005;62:712–716. doi:10.1016/j.gie.2005.05.002.PubMedCrossRef

24.

Fireman Z, Kopelman Y, Fish L, Sternberg A, Scapa E, Mahaina E. Effect of oral purgatives on gastric and small bowel transit time in capsule endoscopy. Isr Med Assoc J. 2004;6:521–523.PubMed

25.

Dai N, Gubler C, Hengstler P, Meyenberger C, Bauerfeind P. Improved capsule endoscopy after bowel preparation. Gastrointest Endosc. 2005;61:28–31. doi:10.1016/S0016-5107(04)02444-7.PubMedCrossRef

26.

Benson MJ, Roberts JP, Wingate DL, et al. Small bowel motility following major intra-abdominal surgery: the effect of opiates and rectal cisapride. Gastroenterology. 1994;106:924–936.PubMed

27.

Fukuda H, Chen C, Mantyh C, Ludwig K, Pappas TN, Takahashi T. The herbal medicine, Dai-Kenchu-to, accelerates delayed gastrointestinal transit after the operation in rats. J Surg Res. 2006;131:290–295. doi:10.1016/j.jss.2005.09.018.PubMedCrossRef

28.

Tang SJ, Zanati S, Dubcenco E, et al. Capsule endoscopy regional transit abnormality: a sign of underlying small bowel pathology. Gastrointest Endosc. 2003;58:598–602.PubMed

29.

Pennazio M, Santucci R, Rondonotti E, et al. Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases. Gastroenterology. 2004;126:643–653. doi:10.1053/j.gastro.2003.11.057.PubMedCrossRef

30.

Baichi MM, Arifuddin RM, Mantry PS. Capsule endoscopy for obscure GI bleeding: therapeutic yield of follow-up procedures. Dig Dis Sci. 2007;52:1370–1375. doi:10.1007/s10620-006-9542-1.PubMedCrossRef

31.

Manabe N, Tanaka S, Fukumoto A, Nakao M, Kamino D, Chayama K. Double-balloon enteroscopy in patients with GI bleeding of obscure origin. Gastrointest Endosc. 2006;64:135–140. doi:10.1016/j.gie.2005.12.020.PubMedCrossRef

32.

Ohmiya N, Yano T, Yamamoto H, et al. Diagnosis and treatment of obscure GI bleeding at double balloon endoscopy. Gastrointest Endosc. 2007;66(Suppl):S72–S77. doi:10.1016/j.gie.2007.05.041.PubMedCrossRef

33.

Endo H, Matsuhashi N, Inamori M, et al. Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding. BMC Gastroenterol. 2008;8:12. doi:10.1186/1471-230x-8-12.PubMedCrossRef

34.

Ueda K, Matteotti R, Assalia A, Gagner M. Comparative evaluation of gastrointestinal transit and immune response between laparoscopic and open gastrectomy in a porcine model. J Gastrointest Surg. 2006;10:39–45. doi:10.1016/j.gassur.2005.09.013.PubMedCrossRef

35.

Naitoh T, Garcia-Ruiz A, Vladisavljevic A, Matsuno S, Gagner M. Gastrointestinal transit and stress response after laparoscopic vs. conventional distal pancreatectomy in the canine model. Surg Endosc. 2002;16:1627–1630. doi:10.1007/s00464-002-0007-0.PubMedCrossRef

Titel: Abdominal Surgery Affects Small Bowel Transit Time and Completeness of Capsule Endoscopy
verfasst von: Hiroki Endo
Nobuyuki Matsuhashi
Masahiko Inamori
Tomohiko Ohya
Hiroshi Iida
Hironori Mawatari
Yuichi Nozaki
Kyoko Yoneda
Tomoyuki Akiyama
Koji Fujita
Hirokazu Takahashi
Masato Yoneda
Yasunobu Abe
Noritoshi Kobayashi
Hiroyuki Kirikoshi
Kensuke Kubota
Satoru Saito
Atsushi Nakajima
Publikationsdatum: 01.05.2009
Verlag: Springer US
Erschienen in: Digestive Diseases and Sciences / Ausgabe 5/2009
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI: https://doi.org/10.1007/s10620-008-0467-8

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