摘要
Abstract
Objective To analyze value of capsule endoscopy in the diagnosis of small intestinal diseases.Methods An retrospective analysis was made on Israel PillCam capsule endoscopy or Korea MiroCam capsule endoscopy examination for 325 patients with suspected small bowel disease from March 2004 to October 2015,and compared with 53 healthy subjects. Results Elderly people with unknown causes of gastrointestinal bleeding ( OGIB) and anemia were examined, in the young people with abdominal pain, diarrhea and other symptoms.In 325 cases, 318 cases were successfully completed, the success rate was 97.8%, the total small bowel examination was completed in 288 cases, and the success rate was 88.6%.Among them, 186 cases were found small bowel lesions;the detection rate was 57.2%.169 patients were diagnosed as the cause of the disease;the diagnosis rate was 52.0%.The detection of diseases including Crohn's disease, vascular malformation, ero-sion, ulcer, polyp, diverticulum, tumor, malabsorption, etc.53 cases of asymptomatic physical examination were completed and found 13 cases of small intestinal lesions, the detection rate was 24.5%, 6 cases of clear cause, the diagnosis rate was 11.3%.Conclusion Capsule endoscopy small bowel examination with high success rate, has high value in the diagnosis of suspected small intestinal diseases, also has good value of screening for asymptomatic persons, particularly for the elderly is safe and well tolerated, worthy of promotion.关键词
胶囊内镜/小肠疾病/诊断价值Key words
Capsule endoscopy/Disease of small bowel/Diagnostic value