Diagnostic Value Of Different Types Of Capsule Endoscopy In Digestive Tract Diseases

Objective To explore the clinical value of small bowel capsule endoscopy(SBCE)and magnetically controlled capsule endoscopy(MCE)in the diagnosis of digestive tract diseases.Methods 1.A total of 154 patients who underwent capsule endoscopy in the Department of Gastroenterology of our hospital were selected.According to their examination methods,they were divided into two groups: small bowel capsule endoscopy group and magnetically controlled capsule endoscopy group.Collect the clinical data of each patient,including name,sex,main clinical symptoms,reasons for medical treatment and endoscopic examination results,etc.Then,their clinical data were analyzed retrospectively.The feasibility of capsule endoscopy and the detection of diseases were analyzed.It was also aims to explore the application value of capsule endoscopy in digestive tract diseases,especially.Also the differences of small intestinal diseases among SBCE patients with different gender,age and main clinical symptoms were statistically analyzed.2.In this study,SPSS 20.0 statistical software was used for data analysis,and the measurement data was expressed by x±s,and the comparison between the two groups was made by two independent samples t test;The counting data is expressed by % of cases,and the comparison between groups adopts χ2 test,P <0.05 means the difference is statistically significantResults 1.All patients who underwent capsule endoscopy successfully completed the examination of the main parts of digestive tract and collected images,which were discharged smoothly within 2 weeks.Only one elderly patient developed adverse reactions during the magnetic capsule endoscopy and then relieved themselves.2.In MCE group,the detection rate of gastric lesions was 90.9%(80/88),while that of small intestine lesions was 21.6%(19/88).And erosive lesions were 42.1%(8/19)and ulcerative lesions were 31.6%(6/19)in small intestine lesions.The detection rate of small intestinal diseases in SBCE group was 71.2%(47/66)higher than that in MCE group 21.6%(19/88),and the difference was statistically significant(p<0.05).The detection rate of intestinal lesions in SBCE group with gastrointestinal bleeding was 95.7%(22/23)higher than that in other symptom groups,and the difference was statistically significant(P<0.05).Conclusion 1.MCE not only has a high detection rate for stomach diseases,but also has certain significance for the diagnostic of small intestine diseases.Therefore,when doing magnetic capsule gastroscopy,the small intestine can be examined at the same time,which not only improves the diagnosis of patients with digestive tract symptoms,but also does not waste medical resources;2.SBCE has high diagnostic value for small intestinal diseases,especially small intestinal bleeding.