Diagnosis of colonic lesions with OMOM capsule endoscopy: an analysis of 46 cases

Wang Lei; Fang Dianchun; Zhao Xiaoyan

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Diagnosis of colonic lesions with OMOM capsule endoscopy: an analysis of 46 cases

更新时间：2025-01-15

- Diagnosis of colonic lesions with OMOM capsule endoscopy: an analysis of 46 cases
- Journal of Army Medical University Vol. 32, Issue 2, Pages: 188-190(2010)
- 作者机构：
  
  1. 第三军医大学西南医院全军消化病研究所
  2. 第三军医大学新桥医院消化内科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R445.9;R574.62
- Published：2010，
  
  Published Online：30 January 2010，
- 稿件说明：
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WANG LEI, FANG DIANCHUN, ZHAO XIAOYAN. Diagnosis of colonic lesions with OMOM capsule endoscopy: an analysis of 46 cases. [J]. Journal of army medical university, 2010, 32(2): 188-190.
DOI：

WANG LEI, FANG DIANCHUN, ZHAO XIAOYAN. Diagnosis of colonic lesions with OMOM capsule endoscopy: an analysis of 46 cases. [J]. Journal of army medical university, 2010, 32(2): 188-190. DOI：

摘要

目的探讨国产OMOM胶囊内镜对结肠疾病的诊断价值。方法以电子结肠镜检查为参照标准，46例志愿者参加了试验，其中有6例在胶囊正常工作时间内未到达结肠或者未能完成结肠镜检查被排除，完成检查40例，计算OMOM胶囊内镜检查结肠的敏感性、特异性、准确性等指标。结果国产OMOM胶囊内镜在合理质控条件下可以完成对结肠的检查，其检查的成功率为87.0%，敏感性为57.7%，特异性为85.7%，准确性为67.5%，阳性预测值为88.2%，阴性预测值为52.2%，阳性似然比为4.04，阴性似然比为0.494。肠道准备的程度直接影响到检查的成功率，50%硫酸镁与和爽联用进行肠道准备可以获得较为理想的肠道清洁度。结论胶囊内镜对结肠疾病的诊断有一定帮助，在保证胶囊功过超过12 h以上的条件下，可完成大部分结肠乃至全结肠的检查。合理的肠道准备是成功进行胶囊内镜检查的基础。

Abstract

Objective To evaluate the role of OMOM capsule endoscopy in diagnosis of colon diseases. Methods Forty-six patients with suspected colon diseases

aged 18 to 68

voluntarily underwent the examination with the OMOM capsule endoscopy and colon endoscopy after informed the aim of the study. Patients who were suspected with colon stenosis or obstruction were excluded from the study. The outcome were compared with the results of common colonoscopy. The sensitivity

specificity and accuracy of OMOM capsule endoscopy were analyzed. Results OMOM capsule endoscopic examination were completed successfully in 40 of 46 (87.0%) patients. For diagnosis of colon diseases with OMOM capsule endoscopy

the sensitivity was 57.7%

the specificity was 85.7%

and the accuracy was 67.5%. While

the positive predictive value was 88.2%

and the negative predictive value was 52.2%. The positive likelihood ratio was 4.04 and the negative likelihood ratio was 0.494. The bowel preparation had direct influence on examine. Polyethylene Glycol 4000 combined with 50% salamarum had better colon clearness. Conclusion OMOM capsule endoscopy is a safe

non-invasive method

and can provide definitive diagnosis in colon diseases. The bowel preparation is important for successful examination.

关键词

OMOM胶囊内镜结肠诊断

Keywords

OMOM capsule endoscopycolonic diseasediagnosis

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Related Institution

Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University

Department of High Altitude Physiology and Pathology, Faculty of High Altitude Military Medicine， Army Medical University （Third Military Medical University）

Department of Medicine and Hygienic Equipment for High Altitude Region, Faculty of High Altitude Military Medicine， Army Medical University （Third Military Medical University）

Department of Otorhinolaryngology, Children’s Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders

Department of Thoracic Surgery, Institute of Respiratory Diseases, Key Laboratory of Respiratory Diseases, Second Affiliated Hospital, Army Medical University(Third Military Medical University)

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