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| Analysis on Related Factors of Capsule Retention and Incomplete in Patients with CD by Small Intestine Capsule Endoscopy |
| HUANG Miaoxing, LI Zhijian, LIU Yuhu, et al |
| Dongguan People's Hospital, Guangdong Dongguan 523000, China |
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Abstract Objective: To analyze the clinical characteristics of patients with Crohn's disease (CD) who underwent small intestine capsule endoscopy and the related factors of capsule retention and incompleteness. Methods: A retrospective study was conducted to collect clinical data of 106 CD patients who underwent small intestinal capsule endoscopy in our hospital. The clinical characteristics of the patients were recorded. The number of cases of capsule retention and incompleteness was counted. Multivariate logistic regression was used to analyze the influencing factors of capsule retention and incompleteness in small intestine capsule endoscopy. Results: Among 106 CD patients, 13 cases had not completed the small intestine capsule endoscopy, and the rate of incompleteness was 12.26%. Multivariate logistic regression analysis showed that gender, albumin, hemoglobin and diarrhea were related factors affecting the incompleteness of small intestinal capsule endoscopy in CD patients (P < 0.05). Among 106 CD patients, 6 cases were retained in small intestine capsule endoscopy, the retention rate was 5.66%. Of the 6 patients with capsule detention, 4 had no clinical symptoms (capsules were discharged by themselves after drug treatment), 2 had secondary intestinal obstruction (capsules were taken out by endoscopy). After symptomatic treatment, they were discharged smoothly. Conclusion: Gender, albumin, hemoglobin and diarrhea are all related factors affecting the incompleteness of small intestinal capsule endoscopy in CD patients. Before capsule endoscopy, we should pay close attention to the gastrointestinal motility and nutritional status of patients, exclude intestinal stricture, reduce the incomplete rate of examination as much as possible, and reduce the incidence of capsule retention.
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2019, Vol. 25 
