胶囊内镜滞留原因及处理

Analysis and management of capsule retention during capsule endoscopy

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。结果:173例胶囊内镜检查中,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,可行观察,若出现梗阻,应及时手术治疗。

Objectlve：To analysie the causes and management of capsule retention during capsule endoscopy. Methods：A retro- spective review of 173 patients undergoing capsule endoscope were analysed. Results：Capsule retention was happened in 4 caces.Laparotomy was administered in 2 of the 4 cases to remove the impacted capsule because of small intestinal obstruction.Capsule was ex- creted 4 weeks and 24 weeks respectively after ingestion in the remaining 2 cases.Conclusion：Capsule retention is a rare and serious complication in the examination of capsule endoscopy. Once intestinal obstruction was happened in capsule retention,laparotomy should be administered to remove the capsule.