Diagnostic Value of Small Bowel Capsule Endoscopy in Patients with Mid-gastrointestinal Bleeding and Follow-up Study
10.3969/j.issn.1008-7125.2016.04.008
- VernacularTitle:中消化道出血患者小肠胶囊内镜的诊断和随访研究
- Author:
Shuang ZHANG
;
Li WANG
;
Xu ZHANG
;
Yun YE
;
Xin HU
;
Pengyue ZHANG
- Publication Type:Journal Article
- Keywords:
Gastrointestinal Hemorrhage;
Small Bowel Capsule Endoscopy;
Angiodysplasia;
Diagnosis;
Follow-Up Studies
- From:Chinese Journal of Gastroenterology
2016;21(4):241-243
- CountryChina
- Language:Chinese
-
Abstract:
Background:Small bowel capsule endoscopy(SBCE)has become a first-line procedure for examining small bowel diseases. Aims:To evaluate the diagnostic value of SBCE in patients with mid-gastrointestinal bleeding(MGIB). Methods:MGIB patients who underwent SBCE from Jan. 2012 to Dec. 2014 at the Third People’s Hospital of Bengbu were enrolled. Diagnostic value of SBCE in MGIB was analyzed. Re-bleeding was followed up by outpatient visit and telephone. Results:Forty-four consecutive MGIB patients underwent SBCE procedures,the detection rate was 95. 5% and the positive rate was 65. 9% . Vascular abnormality(37. 9% ),inflammation(31. 0% )and tumor(20. 7% )were the three major etiology in SBCE positive patients. Follow-up results showed that re-bleeding rate in SBCE positive group was significantly higher than in non-positive group(41. 4% vs. 13. 3% ,P < 0. 05). Conclusions:Vascular abnormality is still the most major etiology of MGIB,meanwhile the proportions of inflammation and tumor are increasing. SBCE has a high detection rate and positive rate in initial screening of MGIB,and the risk of re-bleeding in patients with negative SBCE is low.
