Application of Capsule Endoscope in Diagnosing Small Bowel Diseases_West China Medical Journal

Authors：

LONG Xiaoqi , CHEN Yongjun ,  TANG Yi , CHEN Liang , YANG Bin , YU Xiaoyan , LI Maozhi

Department of Digestive Endoscopy, Suining Central Hospital, Suining, Sichuan 629000, P.R.China;

Corresponding author：

TANG Yi, Email: drdragon@sina.cn

Keywords：

胶囊内镜; 小肠疾病; 诊断

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【摘要】　目的　探讨胶囊内镜对小肠疾病的诊断价值及顺应性和安全性。　方法　分析2009年4月-2010年3月对35例疑有小肠疾病者行胶囊内镜检查的临床资料。　结果　 35例中发现小肠病变26例（74.3%），包括血管畸形9例，间质瘤1例，息肉2例，小溃疡 1例，非特异性炎症 11例，寄生虫2例，其中 4例患者同时存在两种病变。所获取的图像质量良好。胶囊胃内运行平均时间为 62 min（5～460 min），小肠运行时间为 347 min（103～538 min），平均到达盲肠时间为384 min （120～540 min），平均记录时间为547 min（299～605 min），平均获取照片数为54 766张，胶囊排出体外时间平均为33 h（10～120 h）。受检者顺应性良好，无任何并发症发生。　结论　胶囊内镜是一种对小肠疾病具有较高的检出能力；其安全性高、顺应性好。
【Abstract】　Objective　 To investigate the diagnostic value of capsule endoscope for small intestine diseases, and to evaluate the compliance and security of capsule endoscopy.　Methods　 The clinical data of 35 patients who underwent capsule endoscopy due to small bowel diseases between April 2009 and March 2010 were retrospectively analyzed.　Results　 In the 35 patients, 26 (74.3%) had intestine diseases including vascular malformation in nine, interstitialoma in one, polyp in two, aphtha in one, non-specific inflammation in 11 and parasite in two; 4 patients had two lesions simultaneously. The quality of the obtained images was good. The average running time of the capsules in the stomach ranged from five to 460 minutes with an average time of 62 minutes. The running time of the capsules in the small intestine ranged from 103 to 538 minutes with an average of 347 minutes. The running time of the capsules arriving at the cecum ranged from 103 to 538 minutes with an average of 347 minutes. The time of the capsules egested out ranged from 10 to 120 hours with an average of 33 hours. The recording time ranged from 299 to 605 minuets with an average of 547 minutes. The mean acquired images were 54 766 pieces, The patients had good compliance, and none had any complications.　Conclusion　 The capsule endoscopy had high security and good compliance. It has high detectivity in diagnosing small intestine diseases.

Citation： LONG Xiaoqi,CHEN Yongjun,TANG Yi,CHEN Liang,YANG Bin,YU Xiaoyan,LI Maozhi. Application of Capsule Endoscope in Diagnosing Small Bowel Diseases. West China Medical Journal, 2011, 26(2): 184-186. doi: Copy

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1. 　Pennazio M. Small-bowel endoscopy[J]. Endoscopy, 2004, 36(1): 32-41.
2. 　Appleyard M, Fireman Z, Glukhovsky A, et al. A randomized trial comparing wireless capsule endoscopy with push enteroscopy for the detection of small-bowel lesions[J]. Gastroenterology, 2000, 119(6): 1431-1438.
3. 　Yamamoto H, Kita H, Scenada K, et al. Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of smail-intestinal diseases[J].Clin Gastroenterol Hepatol, 2004, 2(11): 1010-1016.
4. 　郭永红, 龙利民, 王海琴, 等. 老年人胶囊内镜检查的临床应用[J]. 中国内镜杂志, 2007, 13(3): 285-289.
5. 　戈之铮, 胡运彪, 高云杰. 胶囊内镜的临床应用[J]. 中华消化杂志, 2003, 23 (1): 7-10.
6. 　冯桂建, 刘玉兰. 胶囊内镜的发展和应用[J]. 中国消化内镜, 2007, 1(2): 16.
7. 　张子其, 陈孝. 胶囊内镜对小肠疾病的诊断价值[J]. 中国实用内科杂志, 2005, 25(3): 218.
8. 　褚哗, 吴云林, 张曙, 等. 消化道出血患者的胶囊内镜检查[J]. 上海第二医科大学学报, 2005, 25(9): 886.
9. 　Iddan G, Meron G, Glukhovsky A, et al. Wireless capsule endoscopy[J]. Nature, 2000, 405(6785): 417.
10. 　赵锐, 伍丽萍, 温忠慧, 等. OMOM胶囊内镜在老年患者消化道疾病诊断中的应用[J]. 华西医学, 2010, 25(1): 121-123.
11. 　Nakamura M, Niwa Y, Ohmiya N, et al. Preliminary comparison of capsule endoscopy and double-balloon enteroscopy in patients with suspected small-bowel bleeding[J]. Endoscopy, 2006, 38(1): 59-66.
12. 　Pennazio M, Santucci R, Rondonotti E, et al. Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases[J]. Gastroenterology, 2004, 126(3): 643-653.
13. 　杨伟昂, 王炳周, 吴灵飞. 胶囊内镜临床应用新进展[J]. 世界华人消化杂志, 2008, 16(36): 4085.

West China Medical Journal

Application of Capsule Endoscope in Diagnosing Small Bowel Diseases

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