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World J Gastroenterol. Mar 28, 2007; 13(12): 1820-1823
Published online Mar 28, 2007. doi: 10.3748/wjg.v13.i12.1820
Role of intravenously administered hyoscine butyl bromide in retrograde terminal ileoscopy: A randomized, double-blinded, placebo-controlled trial
SP Misra, M Dwivedi
SP Misra, M Dwivedi, Department of Gastroenterology, Moti Lal Nehru Medical College, University of Allahabad, Allahabad 211001, India
Author contributions: All authors contributed equally to the work.
Correspondence to: SP Misra, MD, DM, FRCP, FICP, FACG, FNASc, Professor, Department of Gastroenterology, Motilal Nehru Medical College, Allahabad 211001, India. spmisra@sancharnet.in
Telephone: +91-532-2256087 Fax: +91-532-2256274
Received: December 21, 2006
Revised: December 28, 2006
Accepted: January 4, 2007
Published online: March 28, 2007
Abstract

AIM: To evaluate the role of hyoscine butyl bromide in facilitating retrograde ileoscopy.

METHODS: Retrograde terminal ileoscopy was attempted in 200 consecutive patients undergoing colonoscopy. After intubation of the cecum and visualization of the ileocecal valve, hyoscine butyl bromide injection or normal saline was given intravenously to the patients in a double blind random fashion. The pulse rate and oxygen saturation were measured continuously. After completion of the procedure, endoscopists were then asked to score the ease of intubation and the ease of visualization of the terminal ileum on a visual scale of 1 to 10. The patients were also asked to score the pain after receiving hyoscine butyl bromide injection on a score of 1 to 10.

RESULTS: Terminal ileoscopy could be performed in 188 patients. The mean (SD) visual analogue score for the ease of intubation of the cecum was 7.4 (0.65) in the injection group and 5.9 (0.8) in the placebo group (P < 0.001). The mean (SD) length of ileum visualized in the injection group was 14.4 (3.3) cm and 10.4 (2.7) cm in the placebo group (P < 0.001). The mean (SD) visual analogue score for ease of visualization of the terminal ileum was 7.5 (0.69) in the injection group and 5.9 (0.7) in the placebo group (P < 0.001). The pain score experienced by the patients was 6.5 (0.7) in the injection group and 6.7 (0.69) in the placebo group (P < 0.008). Although the pulse rate increased significantly in patients receiving the drug, no statistically significant difference was noted in the oxygen saturation between the two groups either before or after administration of the drug. No complications were observed in either of the groups.

CONCLUSION: Hyoscine butyl bromide injection is a useful adjunct in helping the intubation and visualization of terminal ileum during colonoscopy.

Keywords: Ileoscopy; Colonoscopy; Colon; Ileum; Hyoscine; Tuberculosis; Inflammatory bowel disease; Cancer