Volume 19 Issue 4
Apr.  2021
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LIU Man, KE Xi-quan, WANG Qi-zhi, ZHU Yu, CUI Yan-yan, LIU Xiao-yang, DENG Xiao-jing. Diagnostic value of different types of capsule endoscopy in digestive tract diseases[J]. Chinese Journal of General Practice, 2021, 19(4): 589-592. doi: 10.16766/j.cnki.issn.1674-4152.001868
Citation: LIU Man, KE Xi-quan, WANG Qi-zhi, ZHU Yu, CUI Yan-yan, LIU Xiao-yang, DENG Xiao-jing. Diagnostic value of different types of capsule endoscopy in digestive tract diseases[J]. Chinese Journal of General Practice, 2021, 19(4): 589-592. doi: 10.16766/j.cnki.issn.1674-4152.001868

Diagnostic value of different types of capsule endoscopy in digestive tract diseases

doi: 10.16766/j.cnki.issn.1674-4152.001868
Funds:

 gxgwfx2018052

  • Received Date: 2019-12-15
    Available Online: 2022-02-16
  •   Objective  To compare the clinical value of small bowel capsule endoscopy (SBCE) and magnetically controlled capsule endoscopy (MCE) in the diagnosis of digestive tract diseases.  Methods  A total of 154 patients who underwent capsule endoscopy in the Department of Gastroenterology of our hospital were selected, and the clinical data were analyzed retrospectively. The feasibility and detection of diseases of capsule endoscopy were analyzed, and the differences of small intestinal diseases among SBCE patients with different gender, age and main clinical symptoms were analyzed.  Results  All the patients who underwent capsule endoscopy successfully completed the examination of the main parts of digestive tract and collected images, which were finally discharged smoothly within 2 weeks. Only one elderly patient developed adverse reactions during the magnetic capsule endoscopy and then self-relieved. The overall detection rate of digestive tract diseases in the MCE group was 96.6% (85/88) higher than that in the SBCE group 78.8% (52/66), and the difference was statistically significant (P < 0.05). The detection rate of small intestinal diseases in SBCE group was 71.2% (47/66) higher than that in MCE group 21.6% (19/88), and the difference was statistically significant (P < 0.05). The detection rate of intestinal lesions in SBCE group with gastrointestinal bleeding was 95.7% (22/23) higher than that in other symptom groups, and the difference was statistically significant (P < 0.05). In MCE group, the detection rate of gastric lesions was 90.9% (80/88), while that of small intestine lesions was 21.6% (19/88). And erosive lesions were 42.1% (8/19) and ulcerative lesions were 31.6% (6/19) in small intestine lesions.  Conclusion  SBCE and MCE are both important ways to screen digestive tract diseases.SBCE has high diagnostic value for small intestinal diseases, especially for small intestinal bleeding. MCE not only has a high detection rate for stomach diseases, but also has certain significance in diagnosis of small intestine diseases.

     

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