Capsule endoscopy and single-balloon enteroscopy in small bowel diseases: Competing or complementary

来源 :World Journal of Gastroenterology | 被引量 : 0次 | 上传用户:ylg2008asp
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
AIM To evaluate diagnostic yields of capsule endoscopy(CE) and/or single-balloon enteroscopy(SBE) in patients with suspected small bowel diseases.METHODS Were trospectively analyzed 700 patients with suspected small bowel diseases from September 2010 to March 2016. CE, SBE, or SBE with prior CE was performed in 401, 353, and 47 patients, respectively. Data from clinical and endoscopy records were collected for analysis. Indications, procedure times, diagnostic yields, and complications were summarized and evaluated.RESULTS The overall diagnostic yield for the CE group was 57.6%. The diagnostic yield of CE in patients with obscure gastroin testinal bleeding(OGIB) was significantly greater than that in patients with no bleeding(70.5% vs 43.8%, P < 0.01). The overall diagnostic yield of SBE was 69.7%. There was no difference in the diagnostic yield of SBE between patients with OGIB and those with no bleeding(72.5% vs 68.9%, P = 0.534). Forty-seven patients underwent CE prior to SBE. Among them, the diagnostic yield of SBE with positive findings on prior CE was 93.3%. In addition, SBE detected two cases with superficial ulcer and erosive lesions in the small bowel, which were missed by CE. However, one case with lymphoma and two with Crohn’s disease were not confirmed by SBE. The rate of capsule retention was 2.0%. There were no significant complications during or after SBE examinations.CONCLUSION SBE is a safe and effective technique for diagnosing small bowel diseases. SBE with prior CE seemed to improve the diagnostic yield of small bowel diseases. AIM To evaluate diagnostic yield of capsule endoscopy (CE) and / or single-balloon enteroscopy (SBE) in patients with suspected small bowel disease. METHODS Were trospectively analyzed 700 patients with suspected small bowel diseases from September 2010 to March 2016. CE, SBE , or SBE with prior CE was performed in 401, 353, and 47 patients, respectively. Data from clinical and endoscopy records were collected for analysis. Indications, procedure times, diagnostic yields, and complications were recorded as sum .RESULTS The overall diagnostic yield for the CE group was 57.6%. The diagnostic yield of CE in patients with obscure gastroin testinal bleeding (OGIB) was significantly greater than that in patients with no bleeding (70.5% vs 43.8%, P <0.01). The overall diagnostic yield of SBE was 69.7%. There was no difference in the diagnostic yield of SBE between patients with OGIB and those with no bleeding (72.5% vs 68.9%, P = 0.534). Forty-seven patients underwent CE prior to SBE. Among They, the diagnostic yield of SBE with positive findings on prior CE was 93.3%. In addition, SBE detected two cases with superficial ulcer and erosive lesions in the small bowel, which were missed by CE. However, one case with lymphoma and two with The rate of capsule retention was 2.0%. There were no significant complications during or after SBE examinations. CONCLUSION SBE is a safe and effective technique for diagnosing small bowel diseases. SBE with prior CE pronounced improve the diagnostic yield of small bowel diseases.
其他文献
邹市明(1981-),贵州人,2012年伦敦奥运会男子拳击49公斤级冠军。最家常邹市明出席2013年澳门“皇金拳赛II”的新闻发布会时,曾妙语向对手——墨西哥拳手赫·奥尔特加发出挑战
7月7日这一天,我和同学们一起欣赏了抗战纪念邮票,一起聊了聊记忆中的邮票。邮票,离我们的生活已渐行渐远,几乎只有集邮者才拥有。但是她仍然像影子一样存在于我们的生活里。
猪心肌缺血一再灌注时血小板功能变化及大剂量维生素C对其影响中国医学科学院中国协和医科大学心血管病研究所中国医学科学院中国协和医科大学阜外心血管病医院刘海波,陈在嘉,高
浅麻醉Wistar大鼠49只,用辐射热照尾部作为伤害性刺激,以痛兴奋神经元(painexcitationneuronsPEN)诱发放电频率减少、痛抑制神经元(paininhibitionneuronsPIN)诱发放电频率增加和甩尾反射潜伏期(tailflicklatencyTFL)延长为镇痛效应,观察脑室注射不同剂量吗啡对尾核
针对煤层气藏储层应力敏感性强的特点,通过改变围压和孔隙压力,进行了煤层气藏干岩心和含水岩心的应力敏感性实验研究。系统地研究了煤层气藏的岩石变形特征,并将应力敏感性
取新鲜的人肝脏,充分洗涤,制备匀浆,上清液经Sephadex-G200、DE52层析,聚丙烯酰胺凝胶电泳,得到电泳纯F抗原,并免疫制备抗血清。 Take fresh human liver, wash thoroughly to prepare a homogenate,
Celiac disease(CD) is a systemic immune-mediated disorder triggered by dietary gluten in genetically predisposed individuals. The typical symptoms are anemia, d
目的比较神经节苷脂与依达拉奉治疗急性脑出血的临床疗效。方法选取2014年5月—2016年5月南京市江宁医院收治的急性脑出血患者80例,采用随机数字表法分为对照组和观察组,每组
季羡林(1911-2009),著名的古文字学家、历史学家、翻译家、佛学家、作家,北京大学终身教授。精通12国语言,还是世界上为数不多的梵文、巴利文、吐火罗语专家。课堂上的妙喻课
随着社会经济的迅速发展,为了能够培养出适应于社会发展的新型人才学校开始积极的进行教育改革,现如今在教育之中开始进行新课程理念的教学改革,在新课程理念教学改革的过程