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Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition) ›› 2019, Vol. 06 ›› Issue (03): 102-107. doi: 10.3877/cma.j.issn.2095-7157.2019.03.002

Special Issue:

• Original Article • Previous Articles     Next Articles

Clinical study of capsule endoscopy combined with multi-slice spiral CT in the diagnosis of unexplained gastrointestinal hemorrhage

Jing Wen1, Bing Ji2,(), Mengjun Ren1, Wei Tan1, Jie Wang2, Xin Wang2   

  1. 1. Department of Gastroenterology, Third Hospital of Chongqing Municipal People′s Hospital, 400000 Chongqing, China
    2. Department of Radiology, the First Affiliated Hospital of the Army Military Medical University, 400038 Chongqing, China
  • Received:2019-07-26 Online:2019-08-15 Published:2019-08-15
  • Contact: Bing Ji
  • About author:
    Corresponding author: Ji Bing, Email:

Abstract:

Objective

To compare the differences in the detection and diagnosis efficiency of OGIB between CE, MSCT and two detection methods.

Methods

Patients who underwent examinations in our hospital from January 2017 to August 2018, who met the inclusion criteria and did not meet the exclusion criteria, were grouped according to age and bleed pattern.CE examinations were performed on patients. MSCT examination, comparing the detection rate of the two types of examination, the cause of the diagnosis of the disease and the consistency of detection and diagnosis.

Results

The detection rate and etiology of CE were significantly higher than those of MSCT (P<0.05). The detection rate and etiology of CE combined with MSCT were significantly higher than CE and MSCT (P<0.05). In the dominant bleeding group, CE lesion detection rate and etiological diagnosis rate were significantly higher than MSCT (P<0.05), CE detection and MSCT lesion detection rate and etiological diagnosis rate were significantly higher than CE and MSCT (P<0.05). In the recessive hemorrhage group, there was no significant difference between the detection rate of CE and MSCT and the cause of diagnosis (P>0.05). The detection rate and etiology of CE and MSCT were significantly higher than CE and MSCT (P< 0.05). The detection rate and etiological diagnosis rate of CE in the young group were significantly higher than those of MSCT (P<0.05). The detection rate and etiological diagnosis rate of CE combined with MSCT were significantly higher than those of MSCT (P<0.05). There was no significant difference (P>0.05). In the middle-aged group, there was no significant difference between CE detection and etiological diagnosis rate and MSCT (P>0.05). The detection rate and etiological diagnosis rate of CE combined with MSCT were significantly higher than CE and MSCT (P< 0.05).

Conclusions

CE and MSCT are safe and effective OGIB detection methods. The detection rate and etiological diagnosis rate of CE for OGIB are significantly higher than those of MSCT, especially in the dominant bleeding group and the young population. The combined detection efficiency of the two was significantly higher than that of CE and MSCT, but in the young population, the combined detection efficiency of the two was not significantly different from the CE alone.

Key words: Obscure gastrointestinal bleeding, Capsule endoscopy, Multislice spiral computer tomography

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