Video-capsule endoscopy gastric and small bowel transit time and completeness of the examination in patients with diabetes mellitus

Apr 17, 2007Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver

Stomach and small intestine passage time and exam completeness in people with diabetes using video capsule endoscopy

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Abstract

Video-capsule endoscopy gastric transit time was significantly longer in diabetes mellitus patients (87 minutes) compared to non-diabetic patients (24 minutes).

The caecum was visualized in 69% of diabetes mellitus patients, compared to 89.6% of non-diabetic controls.
In patients where the caecum was reached, small bowel transit time was shorter for diabetes mellitus patients (261.2 minutes) than for non-diabetic controls (302 minutes).
Prolonged gastric transit time may contribute to incomplete examinations in video-capsule endoscopy for diabetes mellitus patients.
Further prospective studies are needed to enhance understanding of video-capsule endoscopy transit times in diabetes mellitus.

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BACKGROUND: Small intestine video-capsule endoscopy examination in patients with diabetes mellitus may be incomplete due to delayed gastric emptying.

AIM: To measure video-capsule endoscopy gastric and small bowel transit time and to assess the completeness of the examination in diabetes mellitus patients.

METHODS: In this retrospective, case-control study, we examined capsule endoscopy videos from 29 consecutive diabetes mellitus patients. Fifty-eight matched for sex, type of preparation, age and reason for referral non-diabetic controls were selected from our video-capsule endoscopy database. Two independent experienced investigators measured transit times and assessed examinations' completeness.

RESULTS: Video-capsule endoscopy gastric transit time was significantly longer in diabetes mellitus (87, 1-478 min) compared to non-diabetic patients (24, 4-108 min, p<0.001). The caecum was visualized in 20/29 (69%) diabetes mellitus and 52/58 (89.6%) non-diabetic controls (p=0.02). In 16 diabetes mellitus patients that video-capsule endoscopy reached the caecum, small bowel transit time was significantly shorter (261.2+/-55.5 min) compared to their 32 non-diabetic matched controls (302+/-62.7 min, p=0.03).

CONCLUSIONS: Patients with type 2 diabetes mellitus have prolonged video-capsule endoscopy gastric transit time compared to non-diabetic patients. Prospective studies are required to complete our understanding of video-capsule endoscopy transit times in the setting of diabetes mellitus.

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Video-capsule endoscopy gastric and small bowel transit time and completeness of the examination in patients with diabetes mellitus

Abstract

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