Aim To evaluate the diagnostic potential of capsule endoscopies for small bowel diseases. Methods 53 patients in our hos pital received examination of OMOM capsule endoscopy. All patients had been checked by gastroscopy and colonscopy, and the results were negative. Of the 53 patients, 32 suffered from obscure gastrointestinal bleeding and 21 abdominal pain. Results All the patients were successfully examined, with no adverse events occurring. Of the 53 patients, 39 had positive findings with a diagnostic yield of 73. 58％ . The positive findings included vascular abnormalities 10 , submucosal nodulation 10 , inflammatory lesions 8 , Crohn ’ s disease 3 , intestinal ulcer 6, lymphangiectasia 1 , Hookworm disease 1. Conclusion Capsule endoscopy is an efficient and secure tool in diag nosing small bowel diseases with a high diagnostic yield.%目的 探讨胶囊内镜对小肠疾病的诊断价值.方法 对53例经胃、结肠镜检查未发现病因的腹痛及消化道出血患者应用OMOM胶囊内镜检查,对结果进行分析.结果 53例患者均完成对全小肠的观察,除1例未排出体外,其他胶囊均在2～6 d排出.共检出小肠病变39例(检出率73.58%),其中血管病变10例,结节型病变10例,炎症性病变8例,小肠溃疡6例,克罗恩病3例,淋巴管扩张1例,钩虫病1例.结论 胶囊内镜对小肠疾病有较高的诊断价值,且安全性高,耐受性好.
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