胶囊内镜检查不明原因消化道出血临床转归115例
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顾静莉, 戈之铮, 高云杰, 陈海英, 胡运彪, 萧树东
胶囊内镜;不明原因消化道出血;诊断;临床转归,顾静莉,戈之铮,高云杰,陈海英,胡运彪,萧树东,通讯作者:,Influenceofcapsuleendoscopyontheclinicaloutcomesofpatientswithobscuregas
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顾静莉, 戈之铮, 高云杰, 陈海英, 胡运彪, 萧树东, 上海交通大学医学院附属仁济医院消化内科 上海市消化疾病研究所 上海市 200001
上海市重点学科建设资助项目, No. Y0205
通讯作者: 戈之铮, 200001, 上海市东方路1630号, 上海交通大学医学院附属仁济医院消化内镜中心, 上海市消化疾病研究所. zhizhengge@yahoo.com.cn
电话: 021-58752345
收稿日期: 2007-05-10 修回日期: 2007-11-23
Influence of capsule endoscopy on the clinical outcomes of patients with obscure gastrointestinal bleeding: an analysis of 115 cases
Jing-Li Gu, Zhi-Zheng Ge, Yun-Jie Gao, Hai-Ying Chen, Yun-Biao Hu, Shu-Dong Xiao
Jing-Li Gu, Zhi-Zheng Ge, Yun-Jie Gao, Hai-Ying Chen, Yun-Biao Hu, Shu-Dong Xiao, Department of Gastroenterology, Renji Hospital Affiliated to Medical College of Shanghai Jiaotong University, Shanghai Institute of Digestive Disease, Shanghai 200001, China
Supported by: the Key Scientific Research Projects of Shanghai City, No. Y0205
Correspondence to: Zhi-Zheng Ge, Department of Gastroenterology, Renji Hospital Affiliated to Medical College of Shanghai Jiaotong University, Shanghai Institute of Digestive Disease, 1630 Dongfang Road, Shanghai 200001,China. zhizhengge@yahoo.com.cn
Received: 2007-05-10 Revised: 2007-11-23
Abstract
AIM: To evaluate the accuracy of the diagnosis of OGIB by capsule endoscopy and the effectiveness of this technique in obtaining a suitable clinical outcome.
METHODS: From May 2002 to June 2005, 99 patients were enrolled in our study of capsule endoscopy for OGIB. We analyzed the degree of consistency between findings by capsule endoscopy and the clinical results, the outcome of treatments based on its diagnosis, the occurrence of re-bleeds and the re-examinations of the patients through records of consultations, emergencies or hospitalizations and telephone follow-up.
RESULTS: Capsule endoscopy successfully detected 89.9% of cases of OGIB. At a mean follow-up of 18.4 (6-41) months, lesions detected by capsule endoscope in 63 (63 ......
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