Recently, 62-year-old Auntie Wang chose capsule endoscopy again during her routine postoperative review. General endoscopy is still familiar to everyone. What is capsule endoscopy? Is there any mystery about it? Let’s look down.
A year ago, Aunt Wang was admitted to the Gastroenterology Department of Hubei Third People’s Hospital (Hubei Zhongshan Hospital) due to gastrointestinal bleeding. After being admitted to the hospital, no bleeding lesions were found by ordinary gastroscopy and colonoscopy. Under the advice of the doctor, Aunt Wang swallowed a capsule endoscopy and found the culprit of her gastrointestinal bleeding – jejunum. Bleeding caused by lesions. Further enteroscopy was performed, and the pathology at the lesion confirmed that it was a malignant tumor. After surgical treatment, Auntie Wang recovered well and was discharged from the hospital.
“I didn’t expect this little capsule to be so magical, it can find problems that cannot be found by ordinary inspection.” Auntie Wang who has recovered to health I was full of goodwill towards capsule endoscopy, so I chose capsule endoscopy again without hesitation during the postoperative review.
What is the capsule endoscopy so favored by Aunt Wang?
The full name of capsule endoscopy is “Smart Capsule Gastrointestinal Endoscopy System”, also known as “Medical Wireless Endoscopy”. Capsule endoscopy looks the same as ordinary capsules, about 1.5 cm in length. The diameter is less than 1 cm, and one end is transparent, a camera the size of a black rice grain can be seen, and an in vitro image recorder is also provided.
Using the capsule endoscope is like taking medicine. After the subject swallows the capsule endoscope, the image of the subject’s digestive tract can be wirelessly transmitted to the In vitro receiver, after 6-10 hours, the capsule battery is exhausted, and the capsule is excreted with the stool.
What are the advantages of capsule endoscopy?
Capsule endoscopy has the advantages of convenient inspection, no trauma, no wires, no pain, no cross infection, and no influence on normal work and life. It solves the problems of small bowel disease and gastrointestinal occult blood diagnosis for many years It can be used as the preferred method for the diagnosis of digestive tract diseases, especially small intestinal diseases, and is called the revolution and direction of endoscopy development in the 21st century by the medical community.
Capsule endoscopy is so good, can it be used by everyone? p>
No, capsule endoscopy also has indications and contraindications.
Indications for capsule endoscopy
1, unknown The cause of gastrointestinal bleeding, and no positive findings were found by upper and lower gastrointestinal endoscopy;
2. Other imaging examinations suspected of small bowel disease;< /span>
3. Various inflammatory bowel diseases;
4. Unexplained iron deficiency anemia;
5. Unexplained chronic abdominal pain, diarrhea, weight loss;
6. Patients with clinical suspicion of inflammatory bowel disease, intestinal tuberculosis and small intestinal tumor.
Contraindications for capsule endoscopy
1. Swallowing Disabled persons cannot perform capsule endoscopy.
2. Pregnant people are relative contraindications.
3. Patients with intestinal obstruction or suspected intestinal obstruction, digestive tract malformation, stricture and fistula should not undergo capsule endoscopy to avoid capsule retention .
4. Pacemakers and implanted cardioverter-defibrillators may interfere with capsule endoscopy, and capsules should not be used Endoscopy.
5. Various acute enteritis, severe ischemic disease and radiation enteritis, such as active bacillary dysentery, acute ulcerative colitis period, outbreak period.
6. Those with large or multiple diverticula and previous pelvic or abdominal surgery.
What preparations do I need to do before capsule endoscopy?
< p data-track="26">1. Eat a low-residue semi-liquid diet two days before the examination, such as porridge, noodles, etc., and avoid vegetables, fruits, and greasy food;
2. Fasting on the morning of the examination, drinking intestinal fluid, swallowing capsules and wearing a receiver when clear water-like stools are excluded;
3. Try not to drink water within 8 hours after swallowing the capsule, and eat dry, colorless foods, such as biscuits, bread, steamed buns, etc. 4 hours later;
4. Avoid strenuous activities;
5. Within 72 hours after the inspection is completed, pay attention to observation Whether the capsule is discharged, if not, go back to the hospital for inspection in time. (Capsule endoscopy takes about 5-10 hours to operate in the small intestine, depending on the individual.)