摘要
Abstract
Objective:To investigate the value of capsule endoscopy in intestinal diseases. Methods:A total of 37 patients suspected of digestive diseases, without clear diagnosis by gastroscopy, colonoscopy and abdominal ultrasound, were inspected by capsule endoscopy. Among the 37 cases, 20 were above 70 years of age. Factors like age, gender, abdominal surgery history, diabetes history and non-stcroidal expectorant history were analyzed by multivariatc regression models. Results: After the inspection of capsule endoscopy, 16 cases were confirmedly diagnosed, 13 cases were suspiciously diagnosed and 8 cases were still not diagnosed. The diagnostic rate was 78. 4%. The patients diagnosed by capsule endoscopy consisted of 1 intestinal Crohn disease, 1 small intestinal tumor, 1 small intestinal erosion with blooding, 1 colon tumor, 26 small intestinal angiodysplasia, 10 intestinal inflammation and 11 mutipolypi in the intestine. There was a slight delay in esophagus time, stomach time, small intestine time in patients above 70-ycar old, but the difference was not statistically significant. Among the patients above 70 years old, 5 cases did not complete the inspection of the small intestine, which indicated that age could affect the inspection (P - 0. 027). While abdominal surgery history, diabetes history, non-stcroidal expectorant history had no influence on the inspection of capsule endoscopy. There was a case of csophagcal retention, a case of stomach stranded among the patients above 70 years old. There were no capsule stranded in the bodies of all 37 cases. One case was influenced by too much brown intestinal fluid and one case was disturbed in the observation. Conclusions: For senile patients with small intestinal diseases without inspection contraindications, capsule endoscopy inspection is the first choice. Monitoring is important for them because of slow gastrointestinal activity. Gastroscopy or drugs may be needed to increase the activity.关键词
胶囊内镜/小肠疾病/高龄患者Key words
Capsule endoscopy/ Ntcstinal diseases/ Senile patient分类
医药卫生
