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What is the effect of capsule endoscopy on small intestinal tumors

September 14, 2023


Of all gastrointestinal tumors, the incidence of small intestinal tumors is less than 2%. Based on the comprehensive analysis of the data of 1024 cases of foreign capsule endoscopy, the diagnosis rate of small intestinal tumor was 6.0% to 8.9%. Small intestinal neoplastic lesions are lack of specific manifestations, due to the lack of direct examination of the small intestine in the past, early diagnosis is very difficult, especially malignant tumors of the small intestine, most of them are found in the late stage. The application of capsule endoscopy provides conditions for the early detection of small intestinal tumors. Capsule endoscopy is an effective diagnostic method for small intestinal tumors. Capsule endoscopy can detect small intestinal tumors early and guide its treatment, which can improve the prognosis of patients with small intestinal tumors.


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The researchers believe that capsule endoscopy can safely and effectively monitor familial adenomatosis in jejunum and ileum, but has little effect on familial adenomatosis in duodenum.

Because the capsule endoscope has the function of 1:8 magnification, the structure of the mucous membrane on the surface of the small intestine can be observed clearly. The special manifestation of celiac capsule endoscopy is small intestinal mucosal villus atrophy (such as scallop-like, fissure-like). Mosaic, flattening of mucosa, disappearance of annular wrinkle d and nodular changes, etc.).

Studies have shown that capsule endoscopy detected non-steroidal anti-inflammatory drugs (NSAID)-related small intestinal mucosal damage rate can be as high as 55%, the incidence and scope of lesions are far beyond the results and expectations of traditional examination methods. The most common NSAID-related intestinal mucosal lesions were mucosal damage, and others included redness of wrinkle d, speckled mucosal bleeding, intestinal hemorrhage, ulcers and the formation of intestinal septum.

Some experiments have confirmed that the positive rate of capsule endoscopy in the whole small intestine detection is 64%, and the specificity is 92%. It captures 50000 ~ 60000 images of each patient with a speed of 2 frames per second and a visual angle of 140 °. It has sufficient opportunities to find the anastomosis of patients after small intestinal surgery. Capsule endoscopy is not recommended for patients with blind end of intestinal surgery.

Studies have shown that capsule endoscopy is an effective diagnostic measure for small intestinal diseases, and it is helpful to guide internal medicine or surgery to take further treatment.

It has been considered that capsule endoscopy is a very effective method for the diagnosis of suspected small intestinal diseases in pediatrics, and its high positive rate is related to careful selection of subjects, because the use of capsule endoscopy in children has not yet undergone extensive clinical trials.

Patient evaluation