Parfenov A I, Akopova A O, Shcherbakov P L, Mikheeva O M, Khomeriki S G
Moscow Clinical Research and Practical Center, Moscow Healthcare Department, Moscow, Russia.
Ter Arkh. 2016;88(4):4-8. doi: 10.17116/terarkh20168844-8.
To estimate the value of video capsule endoscopy (VCE) in the diagnosis of small intestine (SI) diseases..
A total of 134 patients, including 72 (53.7%) women and 62 (46.3%) men whose mean age was 41.48±9.33 years. Group 1 included 73 patients who were examined using an algorithm for the diagnosis of SI diseases, 61 patients underwent VCE by the referrals handed in other healthcare facilities.
In the patients of Group 1, pathological SI changes were revealed by VCE by almost 4 times more frequently than in those of Group 2. VCE provides a possibility of establishing the sources of bleeding, Crohn's disease, and other inflammatory diseases, which are inaccessible to other diagnostic methods. SI arteriovenous malformations, polyps, and diverticula, parasitic infections, and nonsteroidal anti-inflammatory drug-associated enteropathy may be causes of obscure SI bleeding and anemia. In celiac disease, VCE may estimate the extent of SI mucosal atrophy and reveal its disintegration as erosions and ulcers, which are inherent in its refractory form.
VCE is a highly informative method for examining the SI, but, in view of the specific features of its performance and the high cost of hardware, VCE is recommended to be performed in accordance with the proposed diagnostic algorithm.
评估视频胶囊内镜（VCE）在小肠（SI）疾病诊断中的价值。
共134例患者，其中女性72例（53.7%），男性62例（46.3%），平均年龄41.48±9.33岁。第1组包括73例采用小肠疾病诊断算法进行检查的患者，61例患者通过其他医疗机构提交的转诊单接受了VCE检查。
在第1组患者中，VCE发现小肠病理改变的频率几乎是第2组的4倍。VCE能够确定出血来源、克罗恩病和其他炎症性疾病，而这些是其他诊断方法无法做到的。小肠动静脉畸形、息肉、憩室、寄生虫感染以及非甾体抗炎药相关性肠病可能是不明原因小肠出血和贫血的病因。在乳糜泻中，VCE可以评估小肠黏膜萎缩的程度，并发现其糜烂和溃疡等固有难治性形式的病变。
VCE是一种用于检查小肠的高信息量方法，但鉴于其操作的特殊性和设备成本高昂，建议按照所提出的诊断算法进行VCE检查。
