Clinical Applications of Capsule Endoscopy

Objective To assess the value and summarize the expierence of clinical applications of capsule endoscopy.Methods From June 2008 to June 2011,67 male and 52 female patients aged 21-83 years old were examined with capsule endoscopy in our hospital.The examinations were generally conducted from 8:00 to 11:00 AM and polyethylene glycol elect rolyte powder was used for bowel preparation.Results Less than 60 min were taken to pass throgh the pylorus in 104 cases,and more than 120 min in 14 cases.Intramuscular injection of metoclopramide was applied to facilitate movement of the capsule endoscopies in 12 cases,and flexible endoscope in 2 cases.After 1-3 days,the capsule endoscopies were usually excreted from the bowels.Small intestine examination was completed in 103 case(88.65%),while total colon examination in 3 cases(2.52%).The detection of jejun-ilealintestinal,gastroduodenal and colonic lesion were 33.05%,33.61% and 2.54% respectively.There occurred a few complications,including a case of incarcerated pyriform sinus and a case of capsule retention.Conclusion With its security,convenience,good-compliance and less complications,capsule endoscopy is highly significant for diagnosis of small intesinal lesions.