Evaluation of capsule endoscopy for different diagnosis of small bowel disease

【Objective】To explore the diagnostic value and the safety of capsule endoscopy different diagnosis of small bowel disease.【Methods】115 cases accepted capsule endoscopy examination. There were 65 cases of obscure gastrointestinal bleeding (OGIB), 30 cases of chronic abdominal pain, 25 cases of chronic diarrhea, 35cases chronic abdominal pain associated with diarrhea, gastric and small bowel transit time, complication, detection rate and diagnostic yield were valuated. 【Results】155 patients had no discomfortable feeling and complication during the examination, achievement ratio was 96.77%. The capsule endoscopy remained in the stomach for an average of (55.6±44.2) min. The mean transit time in the small bowel was (261.5±91.3) min. The mean time to reach the cecum was (384±24.2) min, the detection rate and diagnostic yield of the OGIB group were (86.15% and 63.07%), the Chronic abdominal pain group (60% and 43.3%), the chronic diarrhea group (52% and 40%), chronic abdominal pain was associated with diarrhea group (65.7% and 51.4%). The detection rate and diagnostic yield of the OGIB group were significantly higher than the first three (P 0.05). 【Conclusions】The of OMOM capsule endoscopy is safe and convenient, with high detection rate and diagnostic yield, especially OGIB.