背景:视频胶囊内窥镜检查(VCE)是一种有效的工具,已被证明在治疗几种胃肠道疾病中非常有用。VCE于2003年在哥伦比亚实施,但目前哥伦比亚接受VCE的患者特征有限,主要来自SARS-CoV-2大流行期之前进行的两次调查。
目的:描述接受VCEs的患者的特征并建立主要适应症,调查结果,技术限制,和其他突出的特点。
方法:使用来自波哥大胃肠病科VCE(PillCamSB3系统)使用报告的数据进行了描述性研究,2019年9月至2023年1月之间的哥伦比亚。人口统计学和临床变量,如VCE的适应症,胃和小肠传输时间(GTT,SBTT),内镜制剂质量,并描述了局限性[n(%),中位数(IQR)]。
结果:共分析了133份VCE报告。大多数是男性,平均年龄为70岁。大多数有良好的准备(96.2%),15.8%的病例存在技术限制。主要指征为不明原因贫血(91%)或隐匿性出血(23.3%)。GTT和SBTT中位数分别为14和30分钟,分别。柱头出血(3.79%)和活动性出血(9.09%)的频率较低,最常见的异常发现是红斑(28.3%),侵蚀(17.6%),和血管扩张(12.5%)。
结论:VCE显示出高水平的安全性。主要指征为原因不明的贫血。活动性出血是最常见的发现。结合人工智能,VCE可以提高诊断精度和有针对性的治疗干预。
BACKGROUND: Video-capsule endoscopy (VCE) is an efficient tool that has proven to be highly useful in approaching several gastrointestinal diseases. VCE was implemented in Colombia in 2003, however current characterization of patients undergoing VCE in Colombia is limited, and mainly comes from two investigations conducted before the SARS-CoV-2 pandemic period.
OBJECTIVE: To describe the characteristics of patients undergoing VCEs and establish the main indications, findings, technical limitations, and other outstanding features.
METHODS: A descriptive study was carried out using data from reports of VCE (PillCam SB3 system) use in a Gastroenterology Unit in Bogotá, Colombia between September 2019 and January 2023. Demographic and clinical variables such as indication for the VCE, gastric and small bowel transit times (GTT, SBTT), endoscopic preparation quality, and limitations were described [n (%), median (IQR)].
RESULTS: A total of 133 VCE reports were analyzed. Most were in men with a median age of 70 years. The majority had good preparation (96.2%), and there were technical limitations in 15.8% of cases. The main indications were unexplained anemia (91%) or occult bleeding (23.3%). The median GTT and SBTT were 14 and 30 minutes, respectively. The frequencies of bleeding stigma (3.79%) and active bleeding (9.09%) were low, and the most frequent abnormal findings were red spots (28.3%), erosions (17.6%), and vascular ectasias (12.5%).
CONCLUSIONS: VCE showed high-level safety. The main indication was unexplained anemia. Active bleeding was the most frequent finding. Combined with artificial intelligence, VCE can improve diagnostic precision and targeted therapeutic interventions.