Koffas Apostolos, Laskaratos Faidon-Marios, Epstein Owen
Gastroenterology Department, University Hospital of Larisa, Mezourlo, Larisa 41110, Greece.
Centre for Gastroenterology, Royal Free Hospital, Pond St, London NW3 2QG, United Kingdom.
World J Clin Cases. 2018 Dec 6;6(15):901-907. doi: 10.12998/wjcc.v6.i15.901.
Small bowel capsule endoscopy is a minimally-invasive endoscopic investigation that is often used in clinical practice to investigate overt or occult gastrointestinal (GI) bleeding among other clinical indications. International guidance recommends small bowel capsule endoscopy as a first-line investigation to detect abnormalities in the small bowel, when gastroscopy and colonoscopy fail to identify a cause of GI bleeding. It can diagnose with accuracy abnormalities in the small bowel. However, there has been increasing evidence indicating that small bowel capsule endoscopy may also detect lesions outside the small intestine that are within the reach of conventional endoscopy and have been probably missed during prior endoscopic investigations. Such lesions vary from vascular deformities to malignancy and their detection often alters patient management, leading to further endoscopic and/or surgical interventions. The current study attempts to review all available studies in the literature and summarise their relevant findings.
小肠胶囊内镜检查是一种微创内镜检查方法，在临床实践中常用于调查显性或隐匿性胃肠道（GI）出血等其他临床指征。国际指南建议，当胃镜和结肠镜检查未能确定胃肠道出血原因时，小肠胶囊内镜检查作为检测小肠异常的一线检查方法。它可以准确诊断小肠异常。然而，越来越多的证据表明，小肠胶囊内镜检查也可能检测到常规内镜检查范围内的小肠外病变，这些病变可能在先前的内镜检查中被遗漏。此类病变从血管畸形到恶性肿瘤不等，其检测往往会改变患者的治疗方案，从而导致进一步的内镜和/或手术干预。本研究试图回顾文献中所有可用的研究，并总结其相关发现。
