Bandorski D, Diehl K-L, Jaspersen D
Medizinische Klinik 1, Klinikum Wetzlar-Braunfels.
Z Gastroenterol. 2005 Aug;43(8):715-8. doi: 10.1055/s-2005-858469.
The study evaluated the actually experience of capsule endoscopy (CE) in patients with electrical implants (cardiac pacemaker/defibrillator) in Germany.
A standardized questionnaire was sent to all centers in Germany doing capsule endoscopy. The questionnaire covers the number of examined patients, monitoring during CE, check of the electric implants before and after CE, occurrence of arrhythmia, quality of CE-video, complications, location and indication of CE.
The questionnaire was sent to 154 hospitals and 51 surgeries. 43% of the questionnaires were sent back to our hospital. In 28 centers 45 Patients with a cardiac pacemaker (CP) and 8 patients with a defibrillator (ICD) were examined with CE. There were no relevant complications. In only two cases supraventricular extrasystoles were seen. 93% of patients with a cardiac pacemaker and 67% of the patients with a defibrillator were examined in a hospital. The predominant indication (patients with CP 86%, patients with ICD 67%) was a gastrointestinal bleeding.
There are limited experiences of CE in patients with electric implants in Germany. Domain of CE is the diagnostic of gastrointestinal bleeding. Through the results of the inquiry you can conclude that CE in patients with cardiac pacemakers seems to be acceptable in the clinics.
本研究评估了德国植入电子装置（心脏起搏器/除颤器）患者进行胶囊内镜检查（CE）的实际经验。
向德国所有进行胶囊内镜检查的中心发送了一份标准化问卷。问卷涵盖了受检患者数量、CE检查期间的监测、CE检查前后电子植入装置的检查、心律失常的发生情况、CE视频质量、并发症、CE的部位及适应证。
问卷发送至154家医院和51家诊所。43%的问卷被返还至我院。在28个中心，45例植入心脏起搏器（CP）的患者和8例植入除颤器（ICD）的患者接受了CE检查。未出现相关并发症。仅2例患者出现室上性早搏。93%植入心脏起搏器的患者和67%植入除颤器的患者在医院接受检查。主要适应证（CP患者为86%，ICD患者为67%）为胃肠道出血。
在德国，植入电子装置患者进行CE检查的经验有限。CE的适用范围是胃肠道出血的诊断。通过调查结果可以得出结论，植入心脏起搏器患者进行CE检查在临床上似乎是可以接受的。
