医学
胶囊内镜
结肠镜检查
胃肠病学
腹痛
无症状的
内科学
胃肠道出血
腹泻
神秘的
内窥镜检查
贫血
憩室病
缺铁性贫血
外科
结直肠癌
病理
癌症
替代医学
作者
Ángel Caunedo,Manuel Rodríguez-Téllez,Josefa María García-Montes,Blas José Gómez-Rodríguez,Javier García Guerrero,Juan Manuel Herrerı́as,F Pellicer
标识
DOI:10.4321/s1130-01082004000100003
摘要
To study the usefulness and safety of capsule endoscopy as a diagnostic tool in various small bowel disorders.A retrospective analysis of a series of cases.Between August 2001 and August 2002, 92 capsule endoscopy procedures were performed in 88 patients (53M/39F, age: 43.87 +/- 16.78). Indications included: chronic diarrhea (n=33); unknown abdominal pain (n=29); occult gastrointestinal bleeding or iron-deficiency anemia (n=13); abdominal discomfort in NSAID takers (n=7); staging of gastrointestinal tumors (n=4), and asymptomatic controls (n=2). Previously performed gastroscopy, colonoscopy, and small-bowel follow-through were not conclusive in all patients.Most frequently relevant findings included: jejuno-ileal aphtas and ulcerations (29 patients), vascular malformations (13 patients), and intestinal neoplasm (6 patients). The groups with a higher rate of findings related to this indication were occult gastrointestinal bleeding (76.92%) and chronic diarrhea (67.85%), with the lowest rate in the abdominal pain group (34.48%). Therapeutic strategy was directly changed in 36 of 88 patients (40.90%) because of capsule-endoscopic findings. The only observed complication was the failed excretion of one of the capsules because of an unknown ulcerated intestinal stricture.Capsule endoscopy is a safe procedure which can study the entire small bowel, meaning a valuable tool for the management of patients with suggestive signs and symptoms of intestinal disorders.
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