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Safety and utility of capsule endoscopy for infants and young children

查看全文 作　　者：Manari Oikawa-[1]Kawamoto;Tsuyoshi [1]Sogo;Takeshi [1]Yamaguchi;Tomoyuki [1]Tsunoda;Takeo [1]Kondo;Haruki [2]Komatsu;Ayano [2]Inui;Tomoo [2]Fujisawa 高影响力作者 机构地区：[1]Department of Pediatric Hepatology and Gastroenterology and Endoscopy Center,Saiseikai Yokohama City Tobu Hospital, Yokohama, Kanagawa 230-0012, Japan;[2]Department of Pediatric Hepatology and Gastroenterology, Saiseikai Yokohama City Tobu Hospital, Yokohama, Kanagawa 230-0012, Japan高影响力机构 出　　处：《World Journal of Gastroenterology》索引2013年第19卷第45期,共7页高影响力期刊 摘　　要：AIM:To assess the safety and utility of capsule endoscopy(CE)for children who are unable to swallow the capsule endoscope.METHODS:The medical records of all of the children who underwent CE between 2010 and 2012 were retrospectively reviewed.The patients were divided into 2groups:group A included patients who were unable to swallow the capsule endoscope,and group B included patients who were able to swallow it.For the patients who were unable to swallow the capsule endoscope,it was placed in the duodenum endoscopically.The small bowel transit time,endoscopic diagnosis and complications of the 2 groups were compared.RESULTS:During the study period,28 CE procedures were performed in 26 patients.Group A included 11patients with a median age of 2 years(range 10 mo-9years),and group B included 15 patients with a median age of 12 years(range 8 years-16 years).The lightest child in the study weighed 7.9 kg.The detection rates did not differ between the 2 groups.The median small bowel transit time was 401 min(range 264-734 min)in group A and 227 min(range 56-512 min)in group B(P=0.0078).No serious complications,including capsule retention,occurred.No significant mucosal trauma occurred in the pharynx,esophagus,stomach or duodenum when the capsule was introduced using an endoscope.CONCLUSION:CE is a safe and useful procedure for infants and young children who are unable to swallow the capsule endoscope. 关 键 词：CAPSULE endoscopy Retention INFANTS Children Small BOWEL TRANSIT time COMPLICATIONS
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