Triantafyllou Konstantinos, Tsibouris Panagiotis, Kalantzis Chryssostomos, Papaxoinis Kostis, Kalli Theodora, Kalantzis Nikolaos, Ladas Spiros D
Hepatogastroenterology Unit, 2nd Department of Internal Medicine--Propaedeutic, Medical School, Athens University, "Attikon" University General Hospital, Department of Gastroenterology, Athens University, "Laikon" General Hospital, Athens, Greece.
Gastrointest Endosc. 2009 Mar;69(3 Pt 1):572-6. doi: 10.1016/j.gie.2008.10.047.
There are no data on the role of PillCam Colon capsule (PCC) endoscopy for examination of the colon in incomplete colonoscopy cases.
To evaluate whether PCC endoscopy can complete colon examination after failure of conventional colonoscopy to visualize the cecum.
Three tertiary centers.
Retrospective case series.
Patients who underwent PCC endoscopy after incomplete colonoscopy from January to June 2008.
Conventional colonoscopy and PCC endoscopy.
By using PCC, we studied 12 patients who had incomplete colonoscopy. Six patients had an obstructing tumor of the left side of the colon, and, in 6 cases, there were technical difficulties to complete colonoscopy. PCC endoscopy visualized the rectum in 1 case. The capsule did not reach the site where colonoscopy stopped in 6 of the 12 cases, ie, 3 left sited tumors and 3 with technical difficulties. Moreover, in 1 of the 3 cases in which the capsule passed the site where colonoscopy stopped, poor bowel preparation precluded the accurate examination of the colon. Four patients underwent a third colon examination (3 barium enemas and 1 virtual CT colonoscopy). There were no adverse events related to PCC endoscopy.
A retrospective study and a selected patient population. Data may not be applicable to other settings.
In this retrospective case series of patients with incomplete colonoscopy, PCC endoscopy did not always satisfactorily examine the colon.
关于在结肠镜检查不完全的情况下，结肠胶囊内镜（PCC）用于结肠检查的作用尚无相关数据。
评估在传统结肠镜检查未能观察到盲肠的情况下，PCC内镜检查能否完成结肠检查。
三个三级中心。
回顾性病例系列研究。
2008年1月至6月间结肠镜检查不完全后接受PCC内镜检查的患者。
传统结肠镜检查和PCC内镜检查。
通过使用PCC，我们研究了12例结肠镜检查不完全的患者。6例患者存在结肠左侧梗阻性肿瘤，6例存在完成结肠镜检查的技术困难。PCC内镜检查仅在1例患者中观察到了直肠。在12例中的6例中，胶囊未到达结肠镜检查终止的部位，即3例左侧肿瘤患者和3例存在技术困难的患者。此外，在胶囊通过结肠镜检查终止部位的3例患者中，有1例因肠道准备不佳而无法准确检查结肠。4例患者接受了第三次结肠检查（3例钡剂灌肠和1例虚拟CT结肠成像）。未发生与PCC内镜检查相关的不良事件。
回顾性研究且患者为特定人群。数据可能不适用于其他情况。
在这个结肠镜检查不完全患者的回顾性病例系列研究中，PCC内镜检查并不总能令人满意地检查结肠。
