潜在小肠出血患者胶囊内镜检查非小肠病变的分析。

Diagnostic and Therapeutic Endoscopy Pub Date : 2016-01-01 Epub Date: 2016-03-22 DOI:10.1155/2016/9063293
Fatma Ebru Akin, Oyku Tayfur Yurekli, Aylin Demirezer Bolat, Mustafa Tahtacı, Huseyin Koseoglu, Eyup Selvi, Naciye Semnur Buyukasik, Osman Ersoy
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引用次数: 5

摘要

经常规上消化道和下消化道内镜检查无法确定来源的胃肠道出血病例被定义为潜在的小肠出血。我们的目的是寻找在传统内镜检查范围内的病变,这些患者已应用视频胶囊内镜检查潜在的小肠出血。回顾性分析了2009年1月至2015年8月间114例因潜在小肠出血而进行VCE评估的患者。患者平均年龄55±17岁。男女比例是39/75。58例(50.9%)患者可确定出血性病变。在58例患者中,8例病变在常规内窥镜可及范围内。总体而言,这8例患者占因潜在小肠出血而行VCE患者的7%。8例患者中,结肠病变5例(血管发育不全4例,盲肠息肉样溃疡1例),胃病变2例(腹腔出血1例,吻合口出血1例),十二指肠球部出血1例。虽然胶囊内窥镜检查通常用于潜在的小肠出血,但胃肠病学家应始终牢记,这些患者可能患有非小肠部分的出血,因此应仔细检查从非小肠区域拍摄的图像。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Analysis of Non-Small Bowel Lesions Detected by Capsule Endoscopy in Patients with Potential Small Bowel Bleeding.

Gastrointestinal (GI) bleeding cases in whom source cannot be identified after conventional upper and lower GI endoscopy are defined as potential small bowel bleeding. We aimed to search for lesions in the reach of conventional endoscopy in patients to whom video capsule endoscopy (VCE) had been applied for potential small bowel bleeding. 114 patients who had VCE evaluation for potential small bowel bleeding between January 2009 and August 2015 were retrospectively evaluated. Mean age of the patients was 55 ± 17 years. Female/male ratio is 39/75. In 58 patients (50.9%) bleeding lesion could be determined. Among these 58 patients 8 patients' lesions were in the reach of conventional endoscopes. Overall these 8 patients comprised 7% of patients in whom VCE was performed for potential small bowel bleeding. Among these 8 patients 5 had colonic lesions (4 angiodysplasia, 1 ulcerated polypoid cecal lesion), 2 had gastric lesions (1 GAVE, 1 anastomotic bleeding), and 1 patient had a bleeding lesion in the duodenal bulbus. Although capsule endoscopy is usually performed for potential small bowel bleeding gastroenterologists should always keep in mind that these patients may be suffering from bleeding from non-small bowel segments and should carefully review images captured from non-small bowel areas.

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