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小型磁控胶囊胃镜在无症状个体上消化道疾病筛查中的应用

Application of small-sized magnetically controlled capsule gastroscopy in upper gastrointestinal diseases screening in asymptomatic individuals.

作者信息

Xu Yan, Li Siquan, Ye Zhanhui, Liang Xiue, Zhang Weizheng, He Hongzhen, Li Jun, Liu Na, Cai Xiangsheng, Chen Kequan

机构信息

Department of Gastroenterology, Guangzhou Cadre and Talent Health Management Center, Guangzhou Eleventh People's Hospital, Guangzhou, Guangdong, China.

Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.

出版信息

Surg Endosc. 2024 Dec;38(12):7382-7388. doi: 10.1007/s00464-024-11350-4. Epub 2024 Oct 23.

Abstract

OBJECTIVE

To explore the application of small-sized magnetically controlled capsule gastroscopy (MCCG) in upper gastrointestinal diseases screening in asymptomatic individuals.

METHODS

A retrospective analysis of the clinical data of 2163 asymptomatic individuals who underwent small-sized MCCG at our center from September 2022 to December 2023. The detection of submucosal tumors, polyps and ulcers in the upper gastrointestinal tract, the tolerance and safety of the subjects were statistically analyzed.

RESULTS

Suspected submucosal tumors in the upper gastrointestinal tract were detected in 34 (1.57%) of 2136 subjects, with a higher incidence in females and no observed age difference. Polyps were detected in 328 subjects (15.16%), with a higher incidence in females and an increased detection rate with increasing age. Ulcers were detected in 27 subjects (1.25%), with a higher incidence in males and no observed age difference. There was no significant discomfort in all subjects, and no adverse event or capsule retention occurred.

CONCLUSION

Small-sized MCCG can be used for focal lesion screening in the upper gastrointestinal tract and is comfortable and safe, making it a safe and efficient method for examining upper gastrointestinal diseases in the physical examination population.

摘要

目的

探讨小型磁控胶囊胃镜(MCCG)在无症状个体上消化道疾病筛查中的应用。

方法

回顾性分析2022年9月至2023年12月在本中心接受小型MCCG检查的2163例无症状个体的临床资料。对上消化道黏膜下肿瘤、息肉及溃疡的检出情况以及受检者的耐受性和安全性进行统计学分析。

结果

2136例受检者中,34例(1.57%)检出上消化道疑似黏膜下肿瘤,女性发病率较高,未观察到年龄差异。328例(15.16%)检出息肉,女性发病率较高,且随着年龄增长检出率增加。27例(1.25%)检出溃疡,男性发病率较高,未观察到年龄差异。所有受检者均无明显不适,未发生不良事件及胶囊滞留。

结论

小型MCCG可用于上消化道局灶性病变筛查,舒适安全,是体检人群上消化道疾病检查的一种安全有效的方法。

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