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World J Gastrointest Endosc. Dec 16, 2013; 5(12): 595-599
Published online Dec 16, 2013. doi: 10.4253/wjge.v5.i12.595
Published online Dec 16, 2013. doi: 10.4253/wjge.v5.i12.595
Finding the solution for incomplete small bowel capsule endoscopy
José Cotter, Francisca Dias de Castro, Joana Magalhães, Maria João Moreira, Bruno Rosa, Gastroenterology Department, Centro Hospitalar do Alto Ave, 4835-044 Guimarães, Portugal
José Cotter, Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, 4710-057 Braga/Guimarães, Portugal
José Cotter, ICVS/3B’s, PT Government Associate Laboratory, 4710-057 Braga/Guimarães, Portugal
Author contributions: Cotter J developed and coordinated the study, drafted and critically revised the manuscript and approved the final version to be submitted; Dias de Castro F reviewed the capsule endoscopy videos, performed data analysis and literature research and drafted the manuscript; Magalhães J participated in the design of the study and statistical analysis; Moreira MJ and Rosa B revised the manuscript and reviewed the capsule endoscopy videos; all the authors read and approved the final manuscript.
Correspondence to: José Cotter, MD, Gastroenterology Department, Centro Hospitalar do Alto Ave, Rua dos Cutileiros, 4835-044 Guimarães, Portugal. jcotter@chaa.min-saude.pt
Telephone: +351-253-540330 Fax: +351-253-421308
Received: September 14, 2013
Revised: November 1, 2013
Accepted: November 15, 2013
Published online: December 16, 2013
Revised: November 1, 2013
Accepted: November 15, 2013
Published online: December 16, 2013
Core Tip
Core tip: Incomplete small bowel capsule endoscopy (SBCE) is an important limitation of the technique and may occur in up to 20% of patients. Delayed gastric passage of the capsule is a major factor leading to incomplete SBCE. Selective administration of oral domperidone to patients with delayed gastric passage of the capsule assessed with the real time viewer (RTV) effectively reduces the rate of incomplete SBCE. The administration of domperidone does not influence small bowel transit time of the capsule. There is an overall trend towards higher diagnostic yield of SBCE when domperidone is selectively administered. The use of the RTV should be adopted systematically in patients undergoing small bowel capsule endoscopy.