O'Grady John, Murphy Clodagh L, Barry Lillian, Shanahan Fergus, Buckley Martin
APC Microbiome Ireland, University College Cork, National University of Ireland, Cork, Ireland.
Department of Medicine, Cork University Hospital, National University of Ireland, Cork, Ireland.
Endosc Int Open. 2020 Mar;8(3):E396-E400. doi: 10.1055/a-1073-7653. Epub 2020 Feb 21.
Determining the etiology and location of gastrointestinal motility disorders can be challenging. A range of investigations targeting specific areas of gastrointestinal transit are available, but many provide clinical data for a given gastrointestinal region alone or for non-specific whole gut transit, and are otherwise of limited use. Video capsule endoscopy allows endoscopic visualisation of the entire gastrointestinal tract, and may also provide more specific data for regional transit time abnormalities. Data from video capsules ingested by 71 ambulatory healthy subjects were recorded and analyzed to determine gastric and small bowel transit times in the fasting state. Median, and interquartile range (IQR), gastric transit time was 22 (10-48) minutes, and median (IQR) small bowel transit time was 198.5 (157-240.5) minutes. These data, for the first time to our knowledge, provide references for gastrointestinal transit times among healthy ambulatory subjects using video capsule endoscopy. This potentially strengthens clinical use of video capsule endoscopy in the investigation of patients with suspected gastrointestinal motility disorders.
确定胃肠动力障碍的病因和位置可能具有挑战性。针对胃肠道传输特定区域的一系列检查方法是可用的,但许多检查仅能提供某一特定胃肠道区域或非特异性全肠道传输的临床数据,其他方面用途有限。视频胶囊内镜可对整个胃肠道进行内镜可视化检查,还可能为区域传输时间异常提供更具体的数据。记录并分析了71名健康门诊受试者摄入视频胶囊后的相关数据,以确定空腹状态下的胃和小肠传输时间。胃传输时间的中位数及四分位间距(IQR)为22(10 - 48)分钟,小肠传输时间的中位数(IQR)为198.5(157 - 240.5)分钟。据我们所知,这些数据首次为使用视频胶囊内镜的健康门诊受试者的胃肠道传输时间提供了参考。这可能会加强视频胶囊内镜在疑似胃肠动力障碍患者调查中的临床应用。