To evaluate the clinical significance of capsule endoscopy for unexplained gastrointestinal massive hemorrhage. Methods: FORTY-SEVEN PATIENTS UNDERWENT gastroenteroSCOPY by CAPSULE ENDOscopy, and the correlation betwe...To evaluate the clinical significance of capsule endoscopy for unexplained gastrointestinal massive hemorrhage. Methods: FORTY-SEVEN PATIENTS UNDERWENT gastroenteroSCOPY by CAPSULE ENDOscopy, and the correlation between gender, age, bleeding rate, bleeding rate, intestinal cleanliness, small bowel movement time and capsule endoscopy was observed. Results: The detection rate of gastrointestinal bleeding of unknown etiology by capsule endoscopy was 64.4%. The results showed that 11 cases had 379% intestinal abnormalities, 6 cases had non-specific inflammation, 17.4% had ulceration, 4 cases had intestinal parasitic diseases, 2 cases had 6.9%, and 1 case (3.7%) had intestinal tumor and polyp. However, the time from capsule examination to bleeding and the amount of bleeding were significantly correlated with the diagnosis rate, while gender, age, intestinal cleanliness and intestinal transport time were not significantly correlated with the diagnosis rate. Conclusion: Capsule endoscopy is a very valuable examination method for the etiology diagnosis of unexplained gastrointestinal bleeding, which is safe, non-invasive and has a high detection rate of lesions. CE examination should be performed as soon as possible in OGIB patients after their condition is stable, so as to improve the disease diagnosis rate and provide more effective and targeted treatment for patients.展开更多
文摘To evaluate the clinical significance of capsule endoscopy for unexplained gastrointestinal massive hemorrhage. Methods: FORTY-SEVEN PATIENTS UNDERWENT gastroenteroSCOPY by CAPSULE ENDOscopy, and the correlation between gender, age, bleeding rate, bleeding rate, intestinal cleanliness, small bowel movement time and capsule endoscopy was observed. Results: The detection rate of gastrointestinal bleeding of unknown etiology by capsule endoscopy was 64.4%. The results showed that 11 cases had 379% intestinal abnormalities, 6 cases had non-specific inflammation, 17.4% had ulceration, 4 cases had intestinal parasitic diseases, 2 cases had 6.9%, and 1 case (3.7%) had intestinal tumor and polyp. However, the time from capsule examination to bleeding and the amount of bleeding were significantly correlated with the diagnosis rate, while gender, age, intestinal cleanliness and intestinal transport time were not significantly correlated with the diagnosis rate. Conclusion: Capsule endoscopy is a very valuable examination method for the etiology diagnosis of unexplained gastrointestinal bleeding, which is safe, non-invasive and has a high detection rate of lesions. CE examination should be performed as soon as possible in OGIB patients after their condition is stable, so as to improve the disease diagnosis rate and provide more effective and targeted treatment for patients.
