Juanmartiñena Fernández José Francisco, Fernández-Urién Sainz Iñaki, Zabalza Ollo Beatriz, Borda Martín Ana, Vila Costas Juan José
Aparato Digestivo, Complejo Hospitalario de Navarra, España.
Gastroenterology Department, Complejo Hospitalario de Navarra.
Rev Esp Enferm Dig. 2017 Jul;109(7):498-502. doi: 10.17235/reed.2017.4604/2016.
Nowadays, capsule endoscopy is the first-line procedure to assess the small bowel. During small bowel procedures, other segments of the gastrointestinal tract may be visualized. The aim of the current study was to evaluate the incidence of colonic abnormalities in patients undergoing small bowel capsule and its impact on patient management.
This study is a retrospective analysis of data from 526 consecutive capsule endoscopy procedures performed at a single tertiary-care centre between 2008 and 2011. Patients with incomplete procedures were excluded from the analysis. Patient baseline characteristics, colonic lesions, diagnosis and management before and after capsule endoscopy were recorded and a descriptive analysis was performed.
Four hundred and sixty four patients were finally included in the analysis. Two hundred and ninety three patients were male (57.3%) and the mean age was 61.3 ± 20.03 years (18-86). Obscure gastrointestinal bleeding (59%) and inflammatory bowel disease (19%) were the main indications for the procedure. Colonic abnormalities were detected by capsule endoscopy in 47 (9%) of 464 patients. The most common types of missed lesions were vascular lesions (34%) and colonic ulcers (32%). This information had a clinical or diagnostic impact of 7.55% and a therapeutic impact of 6.03%.
All images of the colon should be evaluated during small bowel capsule endoscopy as they may provide relevant information that may result in changes in patient management.
如今，胶囊内镜检查是评估小肠的一线检查方法。在小肠检查过程中，胃肠道的其他部分也可能被观察到。本研究的目的是评估接受小肠胶囊内镜检查患者的结肠异常发生率及其对患者管理的影响。
本研究是对2008年至2011年在一家三级医疗中心连续进行的526例胶囊内镜检查数据的回顾性分析。分析中排除了检查不完整的患者。记录患者的基线特征、结肠病变、胶囊内镜检查前后的诊断和管理情况，并进行描述性分析。
最终464例患者纳入分析。293例患者为男性（57.3%），平均年龄为61.3±20.03岁（18 - 86岁）。不明原因的消化道出血（59%）和炎症性肠病（19%）是该检查的主要适应证。464例患者中，47例（9%）通过胶囊内镜检查发现结肠异常。最常见的漏诊病变类型为血管病变（34%）和结肠溃疡（32%）。这些信息的临床或诊断影响为7.55%；治疗影响为6.03%。
在小肠胶囊内镜检查过程中，应评估结肠的所有图像，因为它们可能提供相关信息，从而导致患者管理的改变。
