Document Detail

Coffee enema for preparation for small bowel video capsule endoscopy: a pilot study.
MedLine Citation:
PMID:  25136541     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Coffee enemas are believed to cause dilatation of bile ducts and excretion of bile through the colon wall. Proponents of coffee enemas claim that the cafestol palmitate in coffee enhances the activity of glutathione S-transferase, an enzyme that stimulates bile excretion. During video capsule endoscopy (VCE), excreted bile is one of the causes of poor preparation of the small bowel. This study aimed to evaluate the feasibility and effect of coffee enema for preparation of the small bowel during VCE. In this pilot study, 17 of 34 patients were assigned to the coffee enema plus polyethylene glycol (PEG) 2 L ingestion group, whereas the 17 remaining control patients received 2 L of PEG only. The quality of bowel preparation was evaluated in the two patient groups. Bowel preparations in the proximal segments of small bowel were not differ between two groups. In the mid and distal segments of the small intestine, bowel preparations tend to be better in patients who received coffee enemas plus PEG than in patients who received PEG only. The coffee enema group did not experience any complications or side effects. Coffee enemas may be a feasible option, and there were no clinically significant adverse events related to coffee enemas. More prospective randomized studies are warranted to improve small bowel preparation for VCE.
Eun Sun Kim; Hoon Jai Chun; Bora Keum; Yeon Seok Seo; Yoon Tae Jeen; Hong Sik Lee; Soon Ho Um; Chang Duck Kim; Ho Sang Ryu
Publication Detail:
Type:  Journal Article     Date:  2014-07-29
Journal Detail:
Title:  Clinical nutrition research     Volume:  3     ISSN:  2287-3732     ISO Abbreviation:  Clin Nutr Res     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-08-19     Completed Date:  2014-08-19     Revised Date:  2014-08-21    
Medline Journal Info:
Nlm Unique ID:  101592483     Medline TA:  Clin Nutr Res     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  134-41     Citation Subset:  -    
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