摘要
目的:探讨胶囊内镜发生肠道滞留的危险因素、应对的处理方式和预后随访。方法选择2006年10月至2013年3月间行 OMOM胶囊内镜检查的患者1100例,记录胶囊内镜对小肠病变的阳性发现,胶囊内镜发生肠道滞留者的检查适应证、胶囊内镜检查结果、处理方式及预后随访。结果在1100例胶囊内镜检查中,共13例(1.18%)发生胶囊滞留,其中不明原因消化道出血(OGIB)患者4例(占0.95%),疑诊克罗恩病患者4例(占4.0%),确诊克罗恩病患者2例(占10.5%),疑诊小肠肿瘤患者2例(占7.1%),慢性腹痛患者1例(占0.3%)。11例患者经口小肠镜取出胶囊,1例经外科手术取出胶囊,另 1例经内科治疗1年后胶囊自行排出体外。确诊或疑诊克罗恩病为发生胶囊滞留的高危因素(OR =11.44,P =0.02;OR =5.59,P =0.02),疑诊小肠肿瘤亦为胶囊滞留的高危因素(OR =7.42,P =0.04)。结论胶囊内镜肠道滞留的发生率低(1.18%),但对于具有胶囊滞留高危因素者,胶囊内镜检查前仍需权衡利弊。
Objective To evaluate the risk factors,treatment and follow-up of capsule retentions after capsule endoscopy examination.Methods A total of 1 100 capsule enteroscopic examinations,performed at our hospital from October 2006 to March 2013,were retrospectively studied.The positive findings of lesions, clinical indications of capsule endoscopy,treatment and follow-ups were recorded.Results The incidence of capsule retentions was 1.18%(n =13).The rates of capsule retentions in OGIB,suspected Crohn′s disease (CD),known CD,suspected tumors and chronic abdominal pain were 0.95%,4.0%,10.5%,7.1% and 0.3%,respectively.In 11 patients,the capsule was removed by means of double-balloon enteroscopy,the cap-sule was removed surgically in one patient,and spontaneous expulsion occurred in another patient after 1 year of treatment.Risk factors for capsule retention were known or suspected CD and suspected tumor(OR =11.44, P =0.02;OR =5.59,P =0.02),and suspected tumor was also a risk factor(OR =7.42,P =0.04).Conclu-sion Capsule endoscopy is a safe procedure with low risk of capsule retentions.Advantages and disadvantages of capsule endoscopy examinations should be considered carefully when high-risk patients are involved.
出处
《中华消化内镜杂志》
北大核心
2015年第2期89-91,共3页
Chinese Journal of Digestive Endoscopy
基金
国家重大科仪设备开发专项(2013YQ160439)
高等学校全国优秀博士论文作者专项资金(201271)
上海市卫计委优秀青年人才计划(XYQ2013070)
上海人才发展资金(201364)
第二军医大学优秀青年学者基金
关键词
胶囊内窥镜
滞留
危险因素
Capsule endoscopes
Retention
Risk factors