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Erschienen in: Intensive Care Medicine 6/2009

01.06.2009 | Original

Determining small intestinal transit time and pathomorphology in critically ill patients using video capsule technology

verfasst von: Stefan Rauch, Kristine Krueger, Alparslan Turan, Norbert Roewer, Daniel I. Sessler

Erschienen in: Intensive Care Medicine | Ausgabe 6/2009

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Abstract

Purpose

Gastrointestinal motility can be impaired by serious illness or medications, compromising enteral feeding in critical care patients. We compared small bowel transit time and morphology in neurosurgical critical care (ICU) patients with those in healthy subjects.

Methods

We evaluated small intestinal transit time, quality of visualization and intestinal morphology in 16 ICU patients (Glasgow Coma Scale score from 6 to 14) and 16 healthy ambulatory patients. Video data were obtained with PillCam SB capsules (Given Imaging Ltd., Yoqneam, Israel).

Results

Transit time was 5.1 h (3.9–7.7) (median [IQR]) in ICU and 4.3 (4.1–5.3 h) in ambulatory patients (P = 0.481). Six ICU patients (37%) and two ambulatory patients (12%) had pathological findings (ulcers, petechia, erosions) (P = 0.10).

Conclusions

Median small bowel transit times in critically ill neurosurgical patients were similar to those in ambulatory subjects, although transit times were more variable in the critically ill patients.
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Metadaten
Titel
Determining small intestinal transit time and pathomorphology in critically ill patients using video capsule technology
verfasst von
Stefan Rauch
Kristine Krueger
Alparslan Turan
Norbert Roewer
Daniel I. Sessler
Publikationsdatum
01.06.2009
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe 6/2009
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-009-1415-6

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