MiroCam(r) 캡슐내시경 검사의 완전 소장 검사 및 양성 진단에 영향을 미치는 요인
Factors Affecting Complete Small Bowel Study and Diagnostic Yield in MiroCam(r) Capsule Endoscopy
- 주제(키워드) Mirocam(r) , Capsule endoscopy , Complete small bowel study , Diagnostic yield
- 발행기관 고려대학교 대학원
- 지도교수 김지훈
- 발행년도 2011
- 학위수여년월 2011. 2
- 학위구분 석사
- 학과 일반대학원 의학과
- 세부전공 내과학
- 원문페이지 25 p
- 실제URI http://www.dcollection.net/handler/korea/000000024413
- 본문언어 한국어
- 제출원본 000045635209
초록/요약
Background/Aims: Mirocam(r) capsule endoscopy has been widely used in Korea. However, the data concerning Mirocam(r) capsule endoscopy is lacking. This article assessed the factors affecting complete small bowel study and diagnostic yield in Mirocam(r) capsule endoscopic study. Methods: We retrospectively analyzed 103 cases that were assessed with Mirocam(r) from June, 2007 to February, 2010 at Guro Korea University Hospital. Results: The mean age of the 103 cases was 55.47 years (range: 16-99 years) and 67 cases (65%) were male. The indications for capsule endoscopy were hematochezia/melena (77 cases, 74.8%), anemia (8 cases, 7.8%), abdominal pain (12 cases, 11.7%) and miscellaneous (weight loss, chronic diarrhea, etc.) (6 cases, 5.8%). The mean stomach transit time was 59.9±88.3 minute (range: 1-630) and the mean small bowel transit time was 396.0±131.7 minute (range: 117-708). The rate of successfully performing a complete small bowel study was 82.5% (85 cases), and the stomach transit time was the significant factor for a complete small bowel study (OR=0.991, 95% CI= 0.984-0.998, p=0.012). The diagnostic yield was 51.5% (53 cases) and visual quality was the significant factor for the diagnostic yield (OR=6.776, 95% CI= 1.32-34.70, p=0.022). Conclusions: In Mirocam(r) capsule endoscopic study, short stomach transit time was a significant factor affecting complete small bowel study and the acquisition of excellent visual quality by good bowel preparation was a significant factor for the increase of diagnostic yield.
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