Effect Of Intestinal Preparation On Cleanliness And Transit Time Of Small Intestine Under Capsule Endoscopy In Diabetic Or Non-diabetic People

Objective To study the influence of intestinal preparation on the cleanliness and transit time of small intestine under capsule endoscopy in diabetic or non-diabetic people,and to explore whether intestinal preparation is necessary for capsule endoscopy.Methods From September 2020 to March 2023,the diabetic and non-diabetic people who underwent endoscopic examination of stomach and small intestine magnetic control capsule in Boao Super Hospital were randomly divided into two groups according to whether their intestines were prepared or not(a random number table was generated by SPSS software),and then the influencing factors of small intestine cleanliness and small intestine transport time were analyzed,and then the necessity of intestinal preparation was analyzed.The patients were divided into four groups: 50 cases in A non-diabetic laxative group,25 cases in B non-diabetic laxative group,25 cases in C antidiarrheal group and 51 cases in D non-diabetic laxative group.The cleanliness of small intestine,the overall observation effect and the amount of bubbles were semi-quantitatively analyzed according to the proportion of mucosal visibility and the degree of ambiguity.Statistical software SPSS 25.0 was used to process the research data.Results 1.The influencing factors of small intestinal transit time were obtained by multiple linear stepwise regression analysis: if the age increases by one unit,the small intestinal transit time will increase by 0.036 units;Compared with female population,the transit time of small intestine in male population decreased by 0.637 units.The transit time of small intestine in constipation population increased by 2.146 units compared with that in non-constipation population.The small intestinal transit time of people with small intestinal mucosal lesions increased by 1.247 units compared with those without small intestinal mucosal lesions.According to the standardized B value,the biggest factor affecting the transit time of small intestine is constipation.2.The factors affecting the cleanliness of small intestine were obtained by multiple linear stepwise regression analysis: the cleanliness of small intestine in constipation population increased by 0.254 units compared with that in non-constipation population;3.There was no statistical difference between the four groups in intestinal transit time and intestinal cleanliness(P > 0.05).Conclusions Capsule endoscopy revealed that: 1.Age,female,constipation and intestinal mucosal lesions can prolong the transit time of small intestine,among which constipation has the greatest influence;2.Constipation can reduce the cleanliness of small intestine;3.For non-diabetic people and diabetic people without complications,intestinal preparation can not improve the cleanliness of small intestine and shorten the transit time of small intestine during small intestine capsule endoscopy.