THE SECRET OF BOWEL PREPARATION FOR COLON CAPSULE ENDOSCOPY

Abstract

In 2014, colon capsule endoscopy became covered by health insurance in Japan. To improve the excretion rate of the capsule, we investigated a pretreatment method using castor oil and were able to shorten the capsule excretion and examination time in all 20 patients (including 4 patients undergoing dialysis) evaluated. Subsequently, a multi-center joint study was conducted, and it was found that castor oil improved the colon capsule ejection rate; it is currently used in the regimen for polyp visualization recommended by the Japan Capsule Endoscopy Society. Finally, it accompanies the current conditioning and booster medications administered in our institution.