首页> 中文期刊> 《世界最新医学信息文摘(电子版)》 >胶囊内镜检查不明原因消化道出血滞留胃、小肠的9例临床分析

胶囊内镜检查不明原因消化道出血滞留胃、小肠的9例临床分析

         

摘要

Objective to analyze retrospectively capsule endoscopy in our hospital stay in patients with stomach, small intestine, and analyze the reasons put forward corresponding countermeasures. Methods a retrospective analysis of the author's Hospital in december 2010 - december 2013 application capsule endoscopy does not name the reason 130 cases of gastrointestinal bleeding patients. the results of 130 patients in a total of nine patients had stomach, small intestine retention, retention rate was 6.9%, gastric retention seven cases, two cases removed by endoscopy, one case of combined surgical removal, four cases of the use of drugs, equipment, etc. into the small intestine, intestinal stranded two cases, one case removed through surgery, anal discharge after one case in february. Conclusion capsule endoscopy capsule endoscopy retention is the more serious complications, preoperative patient rigorous screening, routine gastroscopy, attention bowel preparation, real-time monitoring guidance. retention in the stomach more than one hour to take a drug or device into the small intestine, small intestine stranded in the absence of obstruction occurs feasible to observe, if the obstruction should prompt surgical treatment.%目的:回顾性分析我院行胶囊内镜检查滞留在胃、小肠的患者,分析原因,提出相应的对策。方法回顾性分析笔者医院2010年12月至2013年12月应用胶囊内镜检查130例不名原因消化道出血患者。结果130例患者中共有9例患者出现胃、小肠滞留,滞留率为6.9%,胃内滞留7例,2例通过胃镜取出,1例手术合并取出,4例使用药物、器械等送入小肠,小肠滞留 2例,1例通过手术取出,1例 2月后肛门排出。结论胶囊内镜滞留是胶囊内镜检查中比较严重的并发症,术前对患者进行严格筛查,常规胃镜检查,重视肠道准备,实时监测指导。滞留胃内超过1小时采取药物或器械送入小肠,滞留小肠若无梗阻发生,可行观察,若出现梗阻,应及时手术治疗。

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