ABSTRACT
【Objective】 To compare the clinical value of magnetic-controlled capsule endoscopy （MCE） and traditional capsule endoscopy （CE） in the diagnosis of intestinal diseases in hospitalized patients. 【Methods】 A single-center retrospective study was conducted in 263 inpatients who underwent MCE and CE in The First Affiliated Hospital of Xi’an Jiaotong University from March 2016 to March 2020. The information included the patients’ general data， chief complaints， and results of capsule endoscopic examination. 【Results】 ① The overall detection rate in small intestinal diseases was 74.45% in MCE group and 73.81% in CE group， respectively （P=0.905）. The three most common diseases in the two groups were erosive/ulcerative lesions， vascular lesions， and lymphangiectasia. ② The endoscopic auxiliary rate was significantly lower in MCE group than in CE group （0% vs. 9.49%， P<0.001）. ③ There was no significant difference in the rate of intestinal incompletion between the two groups （7.94% vs. 13.87%， P=0.185）. 【Conclusion】 MCE is similar to CE in the diagnostic value for intestinal diseases. Currently， it can be used as one of the methods of small intestinal examination， but this needs to be supported by more multicenter and sizable simple studies.
ABSTRACT
Las lesiones intestinales por trauma contuso o cerrado en abdomen son menos frecuentes; sin embargo, representan la tercera víscera más lesionada por esta causa Para arribar al diagnóstico de lesiones intestinal en forma temprana es difícil y cualquier demora del mismo se asocia con alta morbimortalidad El estudio complementario por excelenciapara su diagnóstico en paciente estable es la tomografía. Presentamos un casode unapecienta de sexo femenina de 56 años de edad que acude al servicio de urgencia por cuadro deantecedente de accidente vehicular que en base a la búsqueda de criterios predictores de lesiones intestinal y mesentérico se indicócirugía de urgenciaarribando a un diagnóstico y tratamiento precoz de lesión intestinal en trauma contuso por vía laparoscópica en forma temprana.
Intestinal injuries due to blunt or closed abdominal trauma are less frequent; however, they represent the third most injured frecuent organ for this cause. Early diagnosis of intestinal injure is difficult and any delay is associated with high morbidity and mortality. The complementary study for its diagnosis in a stable patient is tomography. We present a case of a 56 years old woman who attended goes to the Emergency Service for a history of motor vehicle accident. Based on predictive criteria for intestinal and mesenteric lesions, emergency surgery was indicated, getting an early diagnosis and treatment of intestinal lesion in blunt trauma by laparoscopy.