Zhang Yaoping, Zhang Yanning, Huang Xiaojun
Department of Gastroenterology, Lanzhou University Second Hospital, Lanzhou, Gansu Province, China.
Gansu Provincial Digestive Endoscopy Engineering Research Center, Lanzhou, Gansu Province, China.
Gastroenterol Res Pract. 2021 Dec 30;2021:2716559. doi: 10.1155/2021/2716559. eCollection 2021.
In the past 20 years, several magnetically controlled capsule endoscopes (MCCE) have been developed for the evaluation of gastric lesions, including NaviCam (ANKON), MiroCam-Navi (Intromedic), Endocapsule MGCE (Olympus and Siemens), SMCE (JIFU), and FAMCE (Jinshan). Although limited to observing esophageal and duodenal lesions and lacking the ability of biopsy, MCCE has the advantages of comfort, safety, no anesthesia, no risk of cross-infection, and high acceptability. Several high-quality RCTs showed that the diagnostic accuracy of MCCE is comparable to the traditional gastroscopy. Due to the nonnecessity of anesthesia, MCCE may be more suitable for the elderly with obvious comorbidities as well as children. With more evidences accumulated and more innovative technologies developed, MCCE is expected to be an important tool for screening of early gastric cancer or the diagnosis of gastric diseases.
在过去20年里，已研发出多种用于评估胃部病变的磁控胶囊内镜（MCCE），包括安翰NaviCam、IntroMedic的MiroCam-Navi、奥林巴斯和西门子的Endocapsule MGCE、JIFU的SMCE以及金山的FAMCE。尽管MCCE仅限于观察食管和十二指肠病变且缺乏活检能力，但它具有舒适、安全、无需麻醉、无交叉感染风险以及高接受度等优点。多项高质量随机对照试验表明，MCCE的诊断准确性与传统胃镜相当。由于无需麻醉，MCCE可能更适合患有明显合并症的老年人以及儿童。随着积累的证据越来越多和研发出更多创新技术，MCCE有望成为早期胃癌筛查或胃部疾病诊断的重要工具。
