Capsule Endoscopy About Diagnostic Application Research Of The Unidentified Chronic Abdominal Pain

Objective:1、To clear the proportion of chronic abdominal pain caused by small bowel disease and analysis the chart of small bowel disease in the unidentified chronic abdominal pain.2、To clear the final diagnose accordance rate of the patients of diagnosis for irritable bowel syndrome and functional abdominal pain for the unidentified chronic abdominal pain, through OMOM capsule endoscopy.Methods:We retrospectively reviewed the records of the122patients who were hospitalized in our hospital between July2009and October2012and underwent both gastrointestinal X-barium and OMOM capsule endoscopy.Results:A total of122patients are statistical analysed.94(77.0%) patients for the unidentified chronic abdominal pain among them. The one patient block check failure because of mismatch swallowing. OMOM capsule endoscopy positive findings in93patients:small bowel diseases(84,69.4%), among Inflammatory change (53,43.8%), hemangiectasis (19,5.7%), emptying delay (15,12.4%), bulges(10,8.3%), suspected and diagnosed polyps(6,4.9%),suspected and hookworm (6,4.9%), emptying tachycardia (6,4.9%), ulcer (3,2.5%), suspected and diverticulum(2,1.7%), suspected and whipworm (1,0.8%), roundworm(1,0.8%), mucosal scar change (1,0.8%), stercorolith (1,0.8%), duodenal gland hyperplasia of ball bush (1,0.8%), diagnosed irritable bowel syndrome (1,0.8%), gastrointestinal dyskinesia(1,0.8%). Among these positive fingings,80(85.1%) may make connection to the abdominal pain. Inflammatory change in mucous membrane of small intestine consists of the main cause in the diseases of the unidentified chronic abdominal pain patients. The final diagnose accordance rate is27.3%in the patients of diagnosis for irritable bowel syndrome and functional abdominal pain for the unidentified chronic abdominal pain, through OMOM capsule endoscopy.Conclusions:We must pay attention to the possibility of small bowel organic disease in the unidentified chronic abdominal pain patients. Capsule endoscopy is the new page of endoscopic technology innovation, which is noninvasive, no pain, less complications, clean health, simple operation and less influence on gastrointestinal motility. Its advantages cause that it becomes the first choice of inspection methods in the small bowel diseases in the patients of the unidentified chronic abdominal pain. It achieves looking straight into all the small intestine and is the extremely valuable tool of diagnosing small bowel disease.