视频胶囊内镜对儿童 Meckel 憩室的诊断价值。

The diagnostic value of video capsule endoscopy for Meckel's diverticulum in children.

机构信息

Gastroenterology, Children's Hospital of Fudan University.

Gastroenterology, Children's Hospital of Fudan University, .

出版信息

Rev Esp Enferm Dig. 2020 Jun;112(6):429-433. doi: 10.17235/reed.2020.6708/2019.

DOI:10.17235/reed.2020.6708/2019

PMID:32450705

Abstract

BACKGROUND

Meckel's diverticulum (MD) is the most common congenital anomaly of the gastrointestinal tract and is also an important cause of bloody stool and anemia in children. However, there are few data about video capsule endoscopy (VCE) for MD in children. This study aimed to evaluate the diagnostic value of VCE for MD in children.

MATERIALS AND METHODS

children who underwent VCE for obscure gastrointestinal bleeding from October 1st 2015 to August 31st 2019 at the Children's Hospital of Fudan University were included in this retrospective study. Medical data, VCE data and Meckel's scans, etc. were collected for each patient.

RESULTS

sixteen patients were diagnosed with MD by VCE, including 13 males and 3 females. The age of the patients ranged from 4 years to 13 years, with an average of 7.8 ± 2.7 years. Lower gastrointestinal tract bleeding was the main symptom for patients with MD, including hematochezia (75 %) and melena (25 %). Of the VCE findings, 14 patients had double lumen signs and 2 showed protruding lesions. Among the 16 patients diagnosed with MD by VCE, 14 patients were diagnosed with MD by Meckel's scan, 3 with MD by abdominal enhanced CT and 14 patients were diagnosed with MD by surgery. During the follow-up, bleeding occurred sporadically in patient 12 and the reason is still unknown.

CONCLUSIONS

VCE is useful for the diagnosis of MD and should be used as a valuable and less invasive examination to confirm or establish a diagnosis.

摘要

背景

梅克尔憩室（MD）是最常见的胃肠道先天性畸形，也是儿童血便和贫血的重要原因。然而，关于儿童视频胶囊内镜（VCE）诊断 MD 的数据很少。本研究旨在评估 VCE 对儿童 MD 的诊断价值。

材料和方法

本回顾性研究纳入 2015 年 10 月 1 日至 2019 年 8 月 31 日在复旦大学附属儿科医院接受 VCE 检查以明确不明原因胃肠道出血的患儿。收集每位患者的医学数据、VCE 数据和 Meckel 扫描等资料。

结果

16 例患者经 VCE 诊断为 MD，其中男 13 例，女 3 例。患者年龄 4 岁至 13 岁，平均 7.8 ± 2.7 岁。MD 患儿的主要症状为下消化道出血，包括血便（75%）和黑便（25%）。VCE 检查结果中，14 例患者出现双腔征，2 例患者出现突出性病变。16 例经 VCE 诊断为 MD 的患者中，14 例经 Meckel 扫描、3 例经腹部增强 CT、14 例经手术诊断为 MD。随访期间，患者 12 例出现间歇性出血，原因仍不清楚。