Clinical Application Of Capsule Endoscopy In The Diagnosis Of Small Bowel Disease

Objective:To investigate the clinical value of capsule endoscopy in small bowel diseases.Methods:A retrospective analysis of the First Affiliated Hospital of Xinjiang Medical University since 2011 5-2014 during August on suspicion of 102 cases of outpatient and inpatient small bowel disease rows of capsule endoscopy, according to patients with general information, the type of disease and, ultimately, capsule endoscopy results were analyzed, we observed positive lesion detection rate and safety.Results:102 patients,78 cases passed the ileocecal valve (the ileocecal valve by 76.5%), of which 24 cases (24.0%) within the effective working time does not reach the ileocecal valve, intestinal uptime average 310.1min. Several cases of intestinal lesions detected 72 cases, the total lesion detection rate was 70.6%, lesion types, including vascular malformations in 39 cases,8 cases of intestinal tumors, ulcers seven cases, lymphangiectasia seven cases, three cases of Crohn’s disease, inflammation four cases, two cases of diverticulitis, polyps,1 case,1 case of follicular hyperplasia. Group obscure gastrointestinal bleeding and unexplained chronic abdominal pain group lesion detection rate was 85.5% and 52.9% respectively. Unexplained gastrointestinal bleeding, chronic abdominal pain group than in the group with unexplained lesion detection rate, the difference statistically significant (= 15.78, P=0.03<0.05).Summary:capsule endoscopy is a safe, noninvasive, simple, direct view of the digestive tract examination methods, detection of intestinal lesions have a higher capacity, especially for obscure gastrointestinal bleeding have higher diagnostic value as preferred method of examination intestinal diseases.