From Lens to Scalpel: A Systematic Literature Review of Intestinal Obstruction after Video Capsule Endoscopy.

IF 2 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY
Adam Mylonakis, Panagiotis Sakarellos, Paraskevas Gkolfakis, Athanasios Sioulas, Georgios D Lianos, Vasileios Tatsis, George Pappas-Gogos, Ioannis S Papanikolaou, Dimitrios Schizas
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引用次数: 0

Abstract

Introduction: Video capsule endoscopy (VCE) is a valuable noninvasive diagnostic tool for gastrointestinal disorders, but it carries a risk of capsule retention and subsequent bowel obstruction. The aim of the present study was to examine the manifestations, diagnostic approaches, treatment modalities, and outcome of patients with bowel obstruction due to VCE.

Methods: A comprehensive search was conducted in PubMed/Medline, Embase, Cochrane, and Scopus databases focusing on intestinal obstruction post-VCE.

Results: Out of 399 unique articles, 27 studies were included, involving 30 patients, with an average age of 54 ± 22.3 years and a female-to-male ratio of 1.9:1. Common indications for VCE included Crohn's disease, anemia, abdominal pain with diarrhea, and obscure gastrointestinal bleeding. The obstruction most often occurred in the small intestine, predominantly in the ileum (20 patients, 67%) and the duodenum (5 patients, 17%). Diagnostic methods included CT scans in 19 cases (66%) and X-ray imaging in 8 cases (28%). Treatment varied from conservative management to surgical intervention, and no cases of mortality or morbidity were reported.

Conclusions: This study highlights the importance of a multidisciplinary approach of such cases, concentrating on tailored therapeutic strategies to prevent and address complications related to VCE. Further research with larger cohorts is needed for a deeper understanding of risk factors and long-term outcomes.

从镜头到手术刀:视频胶囊内镜后肠梗阻的系统文献综述。
视频胶囊内窥镜(VCE)是一种有价值的非侵入性胃肠道疾病诊断工具,但它有胶囊潴留和随后肠梗阻的风险。本研究的目的是探讨VCE引起的肠梗阻患者的表现、诊断方法、治疗方式和预后。方法在PubMed/Medline、EMBASE、Cochrane和Scopus数据库中对VCE术后肠梗阻进行综合检索。结果在399篇独立文献中,纳入27篇研究,涉及30例患者,平均年龄54±22.3岁,男女比例为1.9:1。VCE的常见适应症包括克罗恩病、贫血、腹痛伴腹泻和隐蔽性胃肠道出血。梗阻多发生在小肠,主要发生在回肠(20例,67%)和十二指肠(5例,17%)。诊断方法包括CT扫描19例(66%),x线影像学8例(28%)。治疗方法从保守管理到手术干预不等,无死亡或发病病例报道。本研究强调了采用多学科方法治疗此类病例的重要性,重点关注针对性的治疗策略,以预防和解决与VCE相关的并发症。为了更深入地了解风险因素和长期结果,需要进行更大规模的进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Digestive Diseases
Digestive Diseases 医学-胃肠肝病学
CiteScore
4.80
自引率
0.00%
发文量
58
审稿时长
2 months
期刊介绍: Each issue of this journal is dedicated to a special topic of current interest, covering both clinical and basic science topics in gastrointestinal function and disorders. The contents of each issue are comprehensive and reflect the state of the art, featuring editorials, reviews, mini reviews and original papers. These individual contributions encompass a variety of disciplines including all fields of gastroenterology. ''Digestive Diseases'' bridges the communication gap between advances made in the academic setting and their application in patient care. The journal is a valuable service for clinicians, specialists and physicians-in-training.
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