Evaluation of the clinical value of capsule endoscopy in patients with unexplained abdominal pain
- VernacularTitle:胶囊内镜在不明原因腹痛患者中的临床诊断价值
- Author:
Yumei LUO
1
;
Guifang LU
1
;
Mudan REN
1
;
Huanhuan SUN
1
;
Xinlan LU
1
;
Li REN
1
;
Shuixiang HE
1
Author Information
- Publication Type:Journal Article
- Keywords: capsule endoscopy; abdominal pain; intestinal lymphangiectasia
- From: Journal of Xi'an Jiaotong University(Medical Sciences) 2023;44(3):448-451
- CountryChina
- Language:Chinese
- Abstract: 【Objective】 To evaluate the clinical value of capsule endoscope in the diagnosis of unexplained abdominal pain. 【Methods】 We made a retrospective analysis of 191 patients with unexplained abdominal pain who sought medical help in our hospital and 25 normal controls. Capsule endoscopy was performed in both groups, small bowel lesions were detected, and clinical data were collected for further analysis. 【Results】 The total small bowel lesion detection rate was 52.87% (101/191) in abdominal pain (AP) patients and 20% (5/25) in the control group, respectively. The detection rate of significant findings (ulcers, erosions, polyps, diverticula, parasites, and neoplastic organisms) was only 16.23% (31/191) in AP patients. In the non-significant findings, no statistical difference in the detection rates for vascular malformation, capillary dilation, and lymphoid follicular hyperplasia were found between the two groups, while the detection rate of intestinal lymphangiectasia was significantly higher in the AP patients (23.56% vs. 4%, P<0.05, OR=7.089). 【Conclusion】 Capsule endoscopy can be an optional choice for diagnosis of unexplained abdominal pain, while the relationship between positive findings and abdominal pain should be further investigated.
