摘要
AIM： To assess the practically usefulness and diagnostic yield of this new method in a group of patients with suspected small bowel lesions. METHODS： Capsule endoscopic （CE） examination by using M2A capsule endoscope TM （Given Imaging, Yoqneam, Israel） was performed in thirty nine patients （26 males, 13 females） with suspected small intestinal lesions. The composing of the patients was as follows： obscure gastrointestinal bleeding in twenty three patients, known Crohn＇s disease in 6 patients, in whom CE was used to evaluate the severity and extension of the diseases, chronic diarrhea in 8 patients, abdominal pain in one patient and malignancy in one patient with unknown origin. RESULTS： In two patients CE failed. Different abnormalities were revealed in 26 patients overall. Detection rate of abnormalities was highest among patients with obscure gastrointestinal bleeding and the source of bleeding was demonstrated in 17 of 23 patients with obscure bleeding （73.9%）. Entero-Behcet was diagnosed in two patients by CE as a source of obscure gastrointestinal bleeding. In 6 patients with known Crohn＇s disease, CE revealed better evaluation of the disease extension. In 3 of 8 （37.5%） patients with chronic diarrhea; CE revealed some mucosal abnormalities as the cause of chronic diarrhea. In a patient with unexplained abdominal pain and in a cancer patient with unknown origin, CE examination was normal. CONCLUSION： In our relatively small series, we found that capsule endoscopy is a useful diagnostic tool particularly in diagnosis of obscure gastrointestinal bleeding, chronic diarrhea and in estimating the extension of Crohn＇s disease.
瞄准：估计实际上实用性和在有怀疑的小肠损害的一组病人的这个新方法的诊断产量。方法：囊内视镜(CE ) 由使用 M2A 囊内诊镜 TM 的检查(给定的成像， Yoqneam，以色列) 在三十九个病人被执行(26 男性， 13 女性) 与怀疑的小肠的损害。创作病人如下：在 23 个病人的阴暗胃肠的流血，已知的 Crohn 在 6 个病人， CE 在被用来评估疾病的严厉和延期的疾病，在 8 个病人，的长期的腹泻在一个病人的腹的疼痛和在有未知起源的一个病人的恶意。结果：在二个病人， CE 失败了。不同畸形总的来说在 26 个病人被揭示。畸形的察觉率在有阴暗胃肠的流血的病人之中是最高的，流血的来源与阴暗流血在 23 个病人中的 17 个被表明(73.9%) 。Entero-Behcet 被 CE 作为阴暗胃肠的流血的来源在二个病人诊断。在有已知的 Crohn 的疾病的 6 个病人， CE 揭示了疾病延期的更好的评估。在 8 中的 3 个(37.5%) 有长期的腹泻的病人；CE 作为长期的腹泻的原因揭示了一些粘膜畸形。在有 unexplained 的一个病人腹的疼痛并且在有未知起源的一个癌症病人，， CE 检查是正常的。结论：在我们的相对小的系列，我们发现囊内视镜检查法在阴暗胃肠的流血、长期的腹泻的诊断并且在估计 Crohn 的疾病的延期特别地是一个有用诊断工具。
