Busegeanu C, Filimon A, Stemate A, Negreanu L
Internal Medicine 2 Gastroenterology Department, University Hospital; "Carol Davila" University of Medicine and Pharmacy, Bucharest.
J Med Life. 2014 Oct-Dec;7(4):529-32.
Colon capsule endoscopy is regarded as an option to complement or even replace diagnostic colonoscopy in selected cases. Since capsule lacks the capability of taking biopsies, a diagnosis of colon cancer usually requires a further confirmation by colonoscopy. A series of seven patients who had highly suspicious lesions at capsule endoscopy (five-colon tumors, one gastric tumor and one small bowel tumor) and in whom the clinical decision and treatment was solely based on capsule findings, are presented. The diagnosis of cancer was confirmed in all cases by surgery and histology.
In selected patients with a high index of clinical suspicion of cancer, PillCam colon 2 capsule endoscopy might be a sufficient tool for diagnosis.
结肠胶囊内镜检查被视为在特定病例中补充甚至替代诊断性结肠镜检查的一种选择。由于胶囊缺乏活检能力，结肠癌的诊断通常需要通过结肠镜检查进一步确认。本文介绍了一系列7例患者，这些患者在胶囊内镜检查时有高度可疑病变（5例结肠肿瘤、1例胃肿瘤和1例小肠肿瘤），且其临床决策和治疗完全基于胶囊检查结果。所有病例的癌症诊断均通过手术和组织学得到证实。
在临床高度怀疑癌症的特定患者中，结肠2号胶囊内镜检查可能是一种足够的诊断工具。
