The Influence of Obesity on Small Bowel Capsule Endoscopy

IF 2 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
T. Omori, Y. Sasaki, M. Koroku, H. Kambayashi, S. Murasugi, M. Yonezawa, Shinichi Nakamura, K. Tokushige
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Abstract

Objective Intestinal motility may be different in obese and nonobese patients, but this has not been determined. Here, we sought to evaluate the effect of obesity on small bowel capsule endoscopy (SBCE). Patients and Methods. We retrospectively analyzed the cases of the 340 patients who underwent SBCE for small intestinal disease (excluding cases of unobservable total small bowel, small bowel stenosis, and bowel resection) at our hospital during the period January 2014 to December 2020 to extract patient background factors and the bowel transit times of SBCE according to the presence/absence of obesity (defined as a body mass index (BMI) ≥ 25 kg/m2). Results The obese group was 54 patients (nonobese, n = 286). The small bowel transit time (SBTT) was significantly shorter in the obese patients compared to the nonobese patients (p = 0.0026), and when we divided the patients by their short/long SBTTs using 216.5 min as the cutoff, we observed significant between-group differences in the patients' age (≥60 years) and in the patients' hospitalization status at the time of the SBCE examination. A multivariate analysis revealed that hospitalized status at the examination is a factor contributing significantly to a long SBTT (OR 0.25, 95% CI: 0.15–0.42, p < 0.0001). An analysis using the outpatient/inpatient conditions showed that obesity was an independent factor in the inpatient status at the SBCE examination with a significant short SBTT (OR 2.91, 95% CI: 1.06–7.97, p = 0.0380). Constipation at the examination was also a factor contributing to a long SBTT (OR 0.26, 95% CI: 0.07–0.99, p = 0.0493). Conclusion The SBTT of the SBCE was significantly shorter in the obese patients. This tendency was especially evident in the hospitalized state.
肥胖对小肠胶囊内镜检查的影响
目的肥胖和非肥胖患者的肠动力可能不同,但这一点尚未确定。在此,我们试图评估肥胖对小肠胶囊内窥镜检查(SBCE)的影响。患者和方法。我们回顾性分析了2014年1月至2020年12月期间在我院接受SBCE治疗的340名小肠疾病患者的病例(不包括无法观察到的全小肠、小肠狭窄和肠切除病例),以根据是否存在肥胖提取患者背景因素和SBCE的肠道传输时间(定义为身体 大量 指数 (BMI)≥25 kg/m2)。结果肥胖组54例(非肥胖组286例)。与非肥胖患者相比,肥胖患者的小肠转运时间(SBTT)明显更短(p=0.0026),当我们用216.5将患者按短/长SBTT划分时 min作为临界值,我们观察到患者年龄(≥60岁)和SBCE检查时患者住院状态的组间差异显著。一项多变量分析显示,检查时的住院状态是导致长SBTT的一个重要因素(OR 0.25,95%CI:0.15-0.42,p<0.0001)。一项使用门诊/住院条件的分析表明,肥胖是SBCE检查时住院状态的一个独立因素,SBTT显著短(OR 2.91,95%CI:1.06-7.97,p=0.0380)。检查时便秘也是导致SBTT延长的一个因素(OR 0.26,95%CI:0.07–0.99,p=0.0493)。结论肥胖患者SBCE的SBTT明显缩短。这种趋势在住院状态下尤为明显。
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来源期刊
Gastroenterology Research and Practice
Gastroenterology Research and Practice GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.40
自引率
0.00%
发文量
91
审稿时长
1 months
期刊介绍: Gastroenterology Research and Practice is a peer-reviewed, Open Access journal which publishes original research articles, review articles and clinical studies based on all areas of gastroenterology, hepatology, pancreas and biliary, and related cancers. The journal welcomes submissions on the physiology, pathophysiology, etiology, diagnosis and therapy of gastrointestinal diseases. The aim of the journal is to provide cutting edge research related to the field of gastroenterology, as well as digestive diseases and disorders. Topics of interest include: Management of pancreatic diseases Third space endoscopy Endoscopic resection Therapeutic endoscopy Therapeutic endosonography.
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