小儿腹痛患者的磁控胶囊内镜检查
Magnetically Guided Capsule Endoscopy in Pediatric Patients with Abdominal Pain.
作者信息
Xie Mingping, Qian Yuting, Cheng Shidan, Wang Lifu, Shen Ruizhe
机构信息
Department of Gastroenterology, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
出版信息
Gastroenterol Res Pract. 2019 May 8;2019:7172930. doi: 10.1155/2019/7172930. eCollection 2019.
BACKGROUND AND AIMS
Magnetically guided capsule endoscopy (MGCE) offers a noninvasive method of evaluating both the gastric cavity and small intestine; however, few studies have evaluated MGCE in pediatric patients. We investigated the diagnostic efficacy of MGCE in pediatric patients with abdominal pain.
PATIENTS AND METHODS
We enrolled 48 patients with abdominal pain aged 6-18 years. All patients underwent MGCE to evaluate the gastric cavity and small intestine.
RESULTS
The cleanliness of the gastric cardia, fundus, body, angle, antrum, and pylorus was assessed satisfactorily in 100%, 85.4%, 89.6%, 100%, 97.9%, and 100% of patients, respectively. The subjective percentage visualization of the gastric cardia, fundus, body, angle, antrum, and pylorus was 84.8%, 83.8%, 88.5%, 87.7%, 95.2%, and 99.6%, respectively. Eighteen (37.5%) patients had 19 gastrointestinal tract lesions: one esophageal, three in the gastric cavity, and 15 in the small intestine. No adverse events occurred during follow-up.
CONCLUSIONS
MGCE is safe, convenient, and tolerable for evaluating the gastric cavity and small intestine in pediatric patients. MGCE can effectively diagnose pediatric patients with abdominal pain.
背景与目的
磁控胶囊内镜（MGCE）为评估胃腔和小肠提供了一种非侵入性方法；然而，很少有研究评估MGCE在儿科患者中的应用。我们调查了MGCE在儿科腹痛患者中的诊断效果。
患者与方法
我们纳入了48例6至18岁的腹痛患者。所有患者均接受MGCE以评估胃腔和小肠。
结果
胃贲门、胃底、胃体、胃角、胃窦和幽门的清洁度评估满意度分别为100%、85.4%、89.6%、100%、97.9%和100%。胃贲门、胃底、胃体、胃角、胃窦和幽门的主观可视化百分比分别为84.8%、83.8%、88.5%、87.7%、95.2%和99.6%。18例（37.5%）患者有19处胃肠道病变：1例食管病变、3例胃腔病变和15例小肠病变。随访期间未发生不良事件。
结论
MGCE对于评估儿科患者的胃腔和小肠是安全、方便且可耐受的。MGCE能够有效诊断儿科腹痛患者。
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