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OMOM胶囊内镜对成人小肠疾病的诊断价值

Diagnostic value of OMOM capsule endoscopy for small bowel diseases in adults.

作者信息

Zhang Lili, Shen Junsong, Guo Linchun, Cheng Fenggan, Fan Qi, Ni Keqian, Xia Shujing, Zhou Detong

机构信息

Department of Gastroenterology, Xinghua Hospital, Xinghua, Jiangsu 225700, P.R. China.

出版信息

Exp Ther Med. 2018 Apr;15(4):3467-3470. doi: 10.3892/etm.2018.5864. Epub 2018 Feb 13.

Abstract

The present study aimed to determine the diagnostic yield of OMOM capsule endoscopy for small bowel diseases in adults. A total of 89 patients, including 45 cases of obscure abdominal pain, 22 of chronic diarrhea, 18 of obscure gastrointestinal bleeding and 4 of obscure anemia were enrolled in the present study. The transit time of the endoscopy capsule in the digestive tract was recorded and the testing results were analyzed. All detections were completed except for four capsule retentions and the completion rate was 95.51%. The average transit time of the endoscopy capsule in the esophagus, stomach and small intestine was 62.18±64.23 sec, 67.46±63.13 and 346.53±102.81 min, respectively. Of the 89 patients, 54 (60.67%) were found to have lesions, among which 19 had mucosal erosion (21.35%), 15 had anabrosis (16.85%), 9 were diagnosed with polyps (10.11%), 5 with angiodysplasia (5.62%); furthermore, tumors were identified in 5 patients (5.62%) and ancylostomiasis in 1 patient (1.12%). The results confirmed the feasibility and validity of OMOM capsule endoscopy for diagnosing small bowel diseases in adults.

摘要

本研究旨在确定OMOM胶囊内镜对成人小肠疾病的诊断率。本研究共纳入89例患者,其中包括45例不明原因腹痛、22例慢性腹泻、18例不明原因胃肠道出血和4例不明原因贫血患者。记录内镜胶囊在消化道内的运行时间并分析检测结果。除4例胶囊滞留外,所有检测均完成,完成率为95.51%。内镜胶囊在食管、胃和小肠内的平均运行时间分别为62.18±64.23秒、67.46±63.13秒和346.53±102.81分钟。89例患者中,54例(60.67%)发现有病变,其中19例有黏膜糜烂(21.35%),15例有溃疡(16.85%),9例诊断为息肉(10.11%),5例为血管发育异常(5.62%);此外,5例患者(5.62%)发现肿瘤,1例患者(1.12%)发现钩虫病。结果证实了OMOM胶囊内镜诊断成人小肠疾病的可行性和有效性。

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