胶囊内镜诊断消化道疾病102例

目的:探讨胶囊内镜在消化道疾病中的诊断价值和安全性.方法:对不明原因的消化道出血.腹痛和慢性腹泻患者进行Pillcam胶囊内镜检查.部分患者行传统检查(胃镜、结肠镜和全消化道钡餐),进行对比分析.结果:102例受检者在胶囊内镜检查过程中无任何不适和并发症,均顺利完成检查.胶囊1-4 d自然排出,食道排空平均时间2.46 min,胃排空平均时间37.8 min,小肠转运时间平均275.82 min,其中,5例胶囊未达结肠.所得图像清晰,检出食道静咏曲张、慢性胃炎、十二指肠溃疡、小肠炎症、克罗恩病、血管畸形、息肉和间质瘤等.结论:胶囊内镜检查无痛苦,成功率高,对病变检出率高,定位较准确.与其他方法相比.对小肠疾病和上消化道病变有较好的诊断价值.

Value of the Pillcam capsule endoscope in the diagnosis of digestive tract disease: an analysis of 102 cases

AIM:To evaluate the detection rate and safety of the Pillcam capsule endoscope in the diagnosis of digestive tract disease. METHODS:Patients suffering from unex- plained gastrointestinal bleeding,abdominal pain and chronic diarrhea were enrolled in this study and underwent capsule endoscopy.Our results were compared with those achieved with conventional diagnostic procedures(including gastroscope,colonoscope,and digestive tract barium meal)to assess the detection rate and safety of the capsule endoscope in the diagnosis of digestive tract disease. RESULTS:Examinations were completed in one hundred and two cases,with no complica- tions.The capsule remained in the esophagus, stomach and small intestine for an average of 2.46 min,37.8 min and 275.82 min,respec- tively.The quality of photos was excellent. The diseases detected included esophageal varices,gastritis xanthoma,duodenal ulcer, intestinal erosion,Crohn's disease,angiodys- plasia and polyps. CONCLUSION:Capsule endoscopy is pain-free and has the advantages of excellent visualiza- tion,high safety and detection rate,precise local- ization,and better diagnostic value for intestinal disease and upper gastrointestinal disease than other conventional procedures.