The Relationship between Physical Activity Level and Completion Rate of Small Bowel Examination in Patients Undergoing Capsule Endoscopy
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概要
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Objective Capsule endoscopy (CE) allows direct examination of the small bowel in a safe, noninvasive and well-tolerated manner. Nonetheless, experience indicates failure to reach the cecum in 20-30% of patients within the 8 hour battery life. Attempts to improve the completion rate (CR) as defined by reaching the cecum have been unsuccessful. This study was to investigate the relationship between patients' physical activity and CR. Methods Between January 2009 and January 2010, 76 patients (44 men, 32 women; median age 64.5 yr) underwent CE for the diagnosis of small intestinal disorders. Indications for CE were obscure gastrointestinal bleeding/anemia (62 cases), others (14 cases). Patients were divided into an outpatient group (n=23), mild bed rest group (n=35) and strict bed rest group (n=18). Results For all patients, the average gastric transit time was 65.5 minutes, small bowel transit time was 301.4 minutes and the CR was 86.8%. However, the CR was 100% (23/23) in the outpatient group, an 85.7% (30/35) in the mild bed rest group, and 72.2% (13/18) in the strict bed rest group. The CR increased with physical activity of patients by Cochran-Armitage Trend Test (p=0.009). In multivariate logistic regression analyses, low physical activity was a significant risk factor for failure to reach the cecum during CE examination; adjusted OR: 3.39, 95% CI: 1.01-11.42 (p=0.048). Conclusion Our observations suggested that increasing physical activity would increase the likelihood of a complete bowel examination by CE. Further, for CE, inconvenient bowel preparations like the use of polyethylene glycol may be avoided.
著者
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Watanabe Sumio
Department Of Gastroenterology Juntendo University
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Beppu Kazuko
Department Of Gastroenterology Juntendo University School Of Medicine
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Ogihara Tatsuo
Department Of Gastroenterology Juntendo University School Of Medicine
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Otaka Michiro
Department Of Gastroenterology Akita University School Of Medicine
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Nagahara Akihito
Department Of Gastroenterology Juntendo University School Of Medicine
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Shibuya Tomoyoshi
Department Of Gastroenterology Juntendo University School Of Medicine
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Mori Hiroki
Department Of Applied Chemistry Graduate School Of Engineering Hiroshima University
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Osada Taro
Department Of Gastroenterology Juntendo University School Of Medicine
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Matsumoto Kenshi
Department of Advanced Nanostructured Materials Science and Technology, Kagoshima University
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Otaka Michiro
Department of Gastroenterology, Juntendo University School of Medicine, Japan
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Takeda Tsutomu
Department of Gastroenterology, Juntendo University School of Medicine, Japan
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Sakamoto Naoto
Department of Gastroenterology, Juntendo University School of Medicine, Japan
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Sakamoto Naoto
Department of Gastroenterology, Juntendo University School of Medicine
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Mori Hiroki
Department of Gastroenterology, Juntendo University School of Medicine, Japan
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Konishi Masae
Department of Gastroenterology, Juntendo University School of Medicine, Japan
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Fukuo Yuka
Department of Gastroenterology, Juntendo University School of Medicine, Japan
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Shibuya Tomoyoshi
Department of Gastroenterology, Juntendo University School of Medicine, Japan
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Beppu Kazuko
Department of Gastroenterology, Juntendo University School of Medicine, Japan
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