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对于接受胶囊内镜检查的患者,实时可视化可能有助于排除误吸。

Real time visualization may be advisable to exclude aspiration in patients undergoing capsule endoscopy examination.

作者信息

Ribaldone Davide Giuseppe, Bruno Mauro, Solidoro Paolo, De Angelis Claudio

机构信息

General and Specialistic Medicine/Gastroenterology, Città della Salute e della Scienza di Torino, Italy.

General and Specialist Medicine, Città della Salute e della Scienza di Torino.

出版信息

Rev Esp Enferm Dig. 2017 Dec;109(12):878-879. doi: 10.17235/reed.2017.5244/2017.

DOI:10.17235/reed.2017.5244/2017
PMID:29152989
Abstract

Capsule endoscopy (CE) is currently considered as a first line diagnostic tool for small bowel examination. Some patients find swallowing the capsule difficult. However, capsule aspiration is relatively uncommon and is only reported in isolated cases. The majority of these cases are male (39/41; 95.1%) with an age ranging from 56-93 years and only 4 (9.8%) patients had a recorded history of dysphagia. Twenty-four out of 41 (58.5%) patients experienced symptoms of capsule aspiration. The aspiration self-resolved in 11/41 patients and the CE was retrieved during bronchoscopy in the other cases. We present the case of a 75 year old man with a history of chronic anemia who was referred for CE.

摘要

胶囊内镜检查(CE)目前被视为小肠检查的一线诊断工具。一些患者觉得吞咽胶囊困难。然而,胶囊误吸相对少见,仅在个别病例中有报道。这些病例大多数为男性(39/41;95.1%),年龄在56 - 93岁之间,只有4例(9.8%)患者有吞咽困难的记录病史。41例患者中有24例(58.5%)出现了胶囊误吸症状。11/41例患者的误吸自行缓解,其他病例在支气管镜检查期间取出了胶囊内镜。我们报告一例75岁有慢性贫血病史的男性患者接受胶囊内镜检查的病例。

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引用本文的文献

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Capsule endoscopy aspiration and respiratory physician's treatment insights: a case report and literature review.胶囊内镜吸入与呼吸内科医生的治疗见解:一例病例报告及文献综述
Front Med (Lausanne). 2024 Nov 28;11:1442245. doi: 10.3389/fmed.2024.1442245. eCollection 2024.
2
A systematic review of capsule aspiration in capsule endoscopy.胶囊内镜检查中胶囊抽吸的系统评价。
Ann Transl Med. 2024 Feb 1;12(1):12. doi: 10.21037/atm-23-763. Epub 2023 Aug 28.
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Tubeless field anaesthesia for surgical removal of an aspirated endoscopy capsule.
用于手术取出误吸的内镜胶囊的无管区域麻醉。
Anaesth Rep. 2023 Aug 14;11(2):e12242. doi: 10.1002/anr3.12242. eCollection 2023 Jul-Dec.