Lin Yang-Chao, Chen Ching-Lin, Kao Yi-Wei, Chang Chi-Yang, Chen Ming-Chih, Liu Chih-Kuang
Department of Gastroenterology and Hepatology, Fu Jen Catholic University Hospital, New Taipei 242, Taiwan.
Graduate Institute of Business Administration, Fu Jen Catholic University, New Taipei 242, Taiwan.
Healthcare (Basel). 2021 May 13;9(5):577. doi: 10.3390/healthcare9050577.
The magnetic assisted capsule endoscope (MACE) with a hand-held magnetic field navigator (MFN) for upper gastrointestinal examination achieved satisfactory results in a healthy volunteer study. We evaluated the feasibility of upper gastrointestinal examination in the home care setting with the MACE system. Home care patients with upper gastrointestinal symptoms that received an MACE exam were enrolled in the study. MACE procedure time; completeness of observation of important anatomical landmarks; endoscopic diagnosis; patient tolerance during the procedure; and patient data, including age, sex, comorbidities, symptoms, body weight, and height, were retrieved from hospital information system for data analysis. A total of 16 participants were enrolled with a mean age 74.3 ± 15.4 years (47 to 99 years). One patient failed to swallow the capsule and was excluded. The average procedure time was 23.7 ± 10.0 min (14.1 to 42.5 min) to complete each endoscopic exam for the remaining 15 patients. The overall maneuverability in the esophagus, stomach, and duodenum was 93.75%, 87.5%, and 75%, respectively. Overall completeness in the aforementioned regions was 93.75%, 81.25%, and 75%, respectively. No severe adverse events were noted. The results clearly demonstrate the promise of using this MACE system to perform endoscopic examination outside the hospital for patients confined to the community and home.
在一项健康志愿者研究中，配备手持式磁场导航仪（MFN）的磁辅助胶囊内镜（MACE）用于上消化道检查取得了令人满意的结果。我们评估了在家庭护理环境中使用MACE系统进行上消化道检查的可行性。纳入了有上消化道症状并接受MACE检查的家庭护理患者。从医院信息系统中获取MACE操作时间、重要解剖标志的观察完整性、内镜诊断、操作过程中的患者耐受性以及患者数据（包括年龄、性别、合并症、症状、体重和身高）进行数据分析。共有16名参与者入组，平均年龄为74.3±15.4岁（47至99岁）。1例患者未能吞下胶囊，被排除在外。其余15例患者完成每次内镜检查的平均操作时间为23.7±10.0分钟（14.1至42.5分钟）。在食管、胃和十二指肠中的总体可操作性分别为93.75%、87.5%和75%。上述区域的总体完整性分别为93.75%、81.25%和75%。未观察到严重不良事件。结果清楚地表明了使用这种MACE系统为社区和家庭中的患者在医院外进行内镜检查的前景。
