Rauya E, Sha O, Darwazeh R, Zhang B-Q
Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, PR China.
Department of Neurosurgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, PR China.
Acta Gastroenterol Belg. 2019 Oct-Dec;82(4):507-513.
The current mainstay of screening and diagnosis for gastric diseases is conventional standard gastroscopy. However, it is invasive and uncomfortable procedure for the patients especially in case of non-sedative procedures and other adverse effects related to conscious sedation anesthesia. Recently, a magnetic guided capsule gastroscopy (MGCG) was introduced to overcome these challenges. It is a safe and pleasant procedure with no involvement of sedation and no risks of cross-infection between patients. In addition, this method is anticipated to be an alternative tool for screening and diagnosis of gastric diseases with similar gastric visualization as one achieved through standard gastroscopy. In this narrative review, we focused on the recent advances in MGCG including technical issues, ideal gastric preparation, indications and contraindications, available evidences regarding the use of magnetic guided capsule gastroscopy in clinical practice and highlighted further technical advancements which are needed to make MGCG as a potential diagnostic tool. After reviewing the literature, we concluded that the magnetic guided capsule gastroscopy is a safe tool and would be a promising alternative examination equipment for gastric diseases.
目前,胃部疾病筛查和诊断的主要方法是传统标准胃镜检查。然而,这对患者来说是一种侵入性且不舒服的检查,尤其是在非镇静操作以及与清醒镇静麻醉相关的其他不良反应的情况下。最近,为克服这些挑战引入了磁控胶囊胃镜(MGCG)。它是一种安全且舒适的检查,无需镇静,也不存在患者之间交叉感染的风险。此外,预计该方法将成为一种用于胃部疾病筛查和诊断的替代工具,其胃部可视化效果与标准胃镜检查相似。在这篇叙述性综述中,我们聚焦于磁控胶囊胃镜的最新进展,包括技术问题、理想的胃部准备、适应证和禁忌证、磁控胶囊胃镜在临床实践中应用的现有证据,并强调了使磁控胶囊胃镜成为潜在诊断工具所需的进一步技术进步。在回顾文献后,我们得出结论,磁控胶囊胃镜是一种安全的工具,将成为胃部疾病有前景的替代检查设备。