胶囊内镜滞留原因及处理

Analysis and management of capsule endoscope retention

目的探讨胶囊内镜滞留的原因及处理。方法回顾性分析2005年4月～2008年4月行胶囊内镜检查173例临床资料。结果在173例胶囊内镜检查患者中,共发生胶囊内镜滞留4例,发生率为2.3%,其中2例行手术治疗,2例观察后自行排出。结论胶囊内镜滞留是胶囊内镜检查中较严重并发症,若无梗阻发生,可随访观察,若出现梗阻,应及时手术治疗。

[Objective] To analyze the cause and management of capsule endoscope retention, [Methods] A retrospective review of 173 patients undergoing capsule endoscopy was made. [Results] Capsule endoscope retention happened in 4 caces （2.3%）. Laparotomy was administered in 2 of the 4 cases toremove the impacted capsule because of small intestinal obstruction. Capsule was excreted in 4 weeks and 24 weeks after ingestion in the remaining 2 cases. [Conclusions] Capsule endoscope retention is a rare and serious complication in the examination of capsule endoscopy. Once intestinal obstruction happens in capsule retention, laparotomy should be administered to removal the capsule.