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[结肠胶囊内镜的临床应用]

[Clinical practice using colon capsule endoscopy].

作者信息

Kakugawa Yasuo, Matsumoto Minori, Saito Yutaka

机构信息

Endoscopy Division, National Cancer Center Hospital.

出版信息

Nihon Rinsho. 2014 Jan;72(1):168-74.

PMID:24597367
Abstract

PillCam COLON capsule endoscopy(CCE) (Given Imaging Ltd., Yoqneam, Israel) is one of the most recent diagnostic technologies designed to explore the colorectum. The first generation of CCE was released onto the market in 2006, and the second generation (PillCam COLON 2 : CCE-2), with increased sensitivity, was released in 2009. The CCE-2 has 2 imagers with a much wider angle of view that has been increased to 172 degrees per imager, allowing nearly 360 degrees coverage of the colon by two. The most unique feature of the CCE-2 is its adaptive frame rate (AFR). This new technology allows the CCE-2 to capture 35 images per second when in motion and 4 images per second when virtually stationary. The per-patient CCE-2 sensitivity for detecting polyps > or = 6 mm has been reported as 84%-91%. These recent advancements in this modality might offer physicians the option to screen for colorectal lesions noninvasively.

摘要

结肠胶囊内镜检查(PillCam COLON CCE)(以色列约克尼姆的Given Imaging有限公司生产)是旨在探查结直肠的最新诊断技术之一。第一代CCE于2006年投放市场,第二代(PillCam COLON 2:CCE - 2)于2009年推出,其灵敏度有所提高。CCE - 2有两个成像器,视角大大拓宽,每个成像器的视角增至172度,两个成像器几乎可实现结肠360度的覆盖范围。CCE - 2最独特的特性是其自适应帧率(AFR)。这项新技术使CCE - 2在移动时每秒可捕捉35张图像,在几乎静止时每秒可捕捉4张图像。据报道,CCE - 2检测直径大于或等于6毫米息肉的患者个体灵敏度为84% - 91%。这种检查方式的这些最新进展可能为医生提供无创筛查结直肠病变的选择。

相似文献

1
[Clinical practice using colon capsule endoscopy].[结肠胶囊内镜的临床应用]
Nihon Rinsho. 2014 Jan;72(1):168-74.
2
Could the colonic capsule PillCam Colon be clinically useful for selecting patients who deserve a complete colonoscopy?: results of clinical comparison with colonoscopy in the perspective of colorectal cancer screening.结肠胶囊式内窥镜 PillCam Colon 对临床选择需要全结肠镜检查的患者是否有用?以结直肠癌筛查为视角的临床对比研究结果。
Am J Gastroenterol. 2010 May;105(5):1076-86. doi: 10.1038/ajg.2009.624. Epub 2009 Nov 3.
3
Second-generation colon capsule endoscopy compared with colonoscopy.第二代结肠胶囊内镜与结肠镜检查的比较。
Gastrointest Endosc. 2011 Sep;74(3):581-589.e1. doi: 10.1016/j.gie.2011.03.1125. Epub 2011 May 20.
4
Is PillCam COLON capsule endoscopy ready for colorectal cancer screening? A prospective feasibility study in a community gastroenterology practice.结肠 PillCam 胶囊内镜检查是否适用于结直肠癌筛查?一项社区胃肠病学实践中的前瞻性可行性研究。
Am J Gastroenterol. 2009 Apr;104(4):848-54. doi: 10.1038/ajg.2008.163. Epub 2009 Feb 24.
5
Accuracy and safety of second-generation PillCam COLON capsule for colorectal polyp detection.第二代 PillCam COLON 胶囊用于结直肠息肉检测的准确性和安全性。
Therap Adv Gastroenterol. 2012 May;5(3):173-8. doi: 10.1177/1756283X12438054.
6
Colon capsule endoscopy.结肠胶囊内镜检查。
Gastrointest Endosc Clin N Am. 2015 Apr;25(2):387-401. doi: 10.1016/j.giec.2014.11.007. Epub 2015 Jan 28.
7
Accuracy of First- and Second-Generation Colon Capsules in Endoscopic Detection of Colorectal Polyps: A Systematic Review and Meta-analysis.第一代和第二代结肠胶囊内镜在结直肠息肉内镜检测中的准确性:系统评价和荟萃分析。
Clin Gastroenterol Hepatol. 2016 Nov;14(11):1533-1543.e8. doi: 10.1016/j.cgh.2016.04.038. Epub 2016 May 7.
8
Colon capsule endoscopy compared to colonoscopy for colorectal neoplasms diagnosis: an initial experience and a brief review of the literature.结肠胶囊内镜与结肠镜用于结直肠肿瘤诊断的比较:初步经验及文献简要回顾
Rev Med Chir Soc Med Nat Iasi. 2012 Jan-Mar;116(1):145-9.
9
Meta-analysis shows colon capsule endoscopy is effective in detecting colorectal polyps.荟萃分析显示结肠胶囊内镜检查在检测结直肠息肉方面是有效的。
Clin Gastroenterol Hepatol. 2010 Jun;8(6):516-22. doi: 10.1016/j.cgh.2010.02.018. Epub 2010 Mar 6.
10
PillCam colon capsule endoscopy compared with colonoscopy for colorectal tumor diagnosis: a prospective pilot study.结肠 PillCam 胶囊内镜与结肠镜用于结直肠肿瘤诊断的比较:一项前瞻性初步研究。
Endoscopy. 2006 Oct;38(10):971-7. doi: 10.1055/s-2006-944835.

引用本文的文献

1
What Kind of Capsule Endoscope Is Suitable for a Controllable Self-Propelling Capsule Endoscope? Experimental Study Using a Porcine Stomach Model for Clinical Application (with Videos).哪种胶囊内镜适用于可控自推进式胶囊内镜?使用猪胃模型进行临床应用的实验研究(附视频)
PLoS One. 2015 Oct 8;10(10):e0139878. doi: 10.1371/journal.pone.0139878. eCollection 2015.