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Date Published: 28/10/2024
Abstract Views: 4
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DOI: https://doi.org/10.56535/jmpm.v49i8.974
Issue
Vol. 49 No. 8 (2024): TẠP CHÍ Y DƯỢC HỌC QUÂN SỰ SỐ 8 - 2024
Section
Articles
How to Cite
Trần, H. Y., Phạm, Q. P., Nguyễn, H. T., Nguyễn, N. K., Vũ, N. H., Nguyễn, V. P., Dương, X. N., & Nghiêm, Đ. T. (2024). TECHNICAL PROCEDURE AND EFFECTIVENESS OF CAPSULE ENDOSCOPY IN THE DIAGNOSIS OF DIGESTIVE TRACT DISEASES. Journal of Military Pharmaco-medicine, 49(8), 85-94. https://doi.org/10.56535/jmpm.v49i8.974

TECHNICAL PROCEDURE AND EFFECTIVENESS OF CAPSULE ENDOSCOPY IN THE DIAGNOSIS OF DIGESTIVE TRACT DISEASES

Hải Yến Trần1, Quang Phú Phạm1, Hoài Thương Nguyễn1, Ngọc Khánh Nguyễn1, Ngọc Hoàn Vũ2, Việt Phương Nguyễn1, Xuân Nhương Dương1, Đức Thuận Nghiêm2,
1 Bệnh viện Quân y 103, Học viện Quân y
2 Học viện Quân y

Main Article Content

Abstract

Objective: Describe the technical characteristics, safety and effectiveness of capsule endoscopy in the diagnosis of gastrointestinal diseases in the small intestine. Subjects and methods: Cross-sectional description of 85 patients indicated for capsule endoscopy, treated at Military Hospital 103 and some hospitals in Hanoi from September 2019 to August 2024. Results: 60.0% of patients indicated for capsule endoscopy due to gastrointestinal bleeding of unknown cause. The average age was 56.9 ± 16.6, the youngest was 15 and the oldest was 93. Patients had many severe systemic diseases such as stroke, kidney failure and heart failure. The rate of detecting small intestinal lesions was 61.2%. 89.4% of cases had the capsule pass through the small intestine. The average time for the capsule to travel in the small intestine was 5.58 ± 2.16 hours; the average storage time in the body was 41.19 ± 13.44 hours. There were no serious complications during the endoscopy (capsule obstruction, intestinal perforation). Conclusion: Capsule endoscopy was a safe technique and had no contraindications for elderly patients, patients with combined systemic diseases; and was highly effective in diagnosing gastrointestinal diseases in the small intestine.

Article Details

Keywords

Nội soi viên nang, Bệnh lý ruột non, Đặc điểm kỹ thuật, Tính an toàn

References

1. Biernacka KB, Barańska D, Grzelak P, et al. (2019). Up-to-date overview of imaging techniques in the diagnosis and management of inflammatory bowel diseases. Prz Gastroenterol. 2019; 14(1):19-25.
2. Enns RA, Hookey L, Armstrong D, et al. Clinical practice guidelines for the use of video capsule endoscopy. Gastroenterology Res. 2017; 152(3): 497-514.
3. Bộ Y tế. Hướng dẫn quy trình kỹ thuật Nội khoa, Chuyên ngành Tiêu hóa. Nhà xuất bản Y học, Hà Nội. 2014.
4. Tominaga K, Sato H, Yokomichi H, et al. Variation in small bowel transit time on capsule endoscopy. Ann Transl Med. 2020; 8(6):348.
5. May A. Balloon enteroscopy: Single-and double-balloon enteroscopy. Gastrointestinal Endoscopy Clinics. 2009; 19(3):349-356.
6. Liao Z, Gao R, Xu C, et al. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: A systematic review. Gastrointest Endosc. 2010; 71(2):280-286.
7. Đỗ Anh Giang, Vũ Văn Khiên, Phạm Thị Thu Hồ. Đặc điểm kỹ thuật, tính an toàn của nội soi bóng đơn ở bệnh nhân chảy máu tiêu hóa nghi ở ruột non. Tạp chí Y học Việt Nam. 2022; 508(1).
8. Kyle D Robertson, Singh R. Capsule endoscopy. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan.