[Usefulness of small-bowel capsule endoscopy in gastrointestinal bleeding]

Diagnostic value of capsule endoscopy and double-balloon enteroscopy in small bowel diseases

OBJECTIVE

To analyze the diagnostic value of capsule endoscopy (CE) and double-balloon enteroscopy (DBE) in small bowel diseases.

METHODS

The clinical data of 134 cases of CE and 109 cases of DBE examined in our gastroscopy room from January 2016 to December 2019 were retrospectively analyzed. The two groups of patients were compared as to disease diagnostic rate, examination time, examination tolerance, and incidence of adverse reactions.

RESULTS

The two groups showed no significant difference in general data (all P>0.05). The DBE group showed a higher disease diagnostic rate than the CE group (P<0.05). Significantly higher rates of suspected intestinal bleeding were observed in the DBE group than those of the CE group (P<0.05), but no significant differences were found in the diagnosis of unexplained abdominal pain, abdominal distension, and others (all P>0.05). The DBE group required a longer examination time, and had a higher incidence of adverse reactions, and a lower examination tolerance than the CE group (P<0.05).

CONCLUSION

Both DBE and CE are effective in small bowel diseases diagnoses, but DBE demonstrated greater potential in diagnosing small bowel bleeding.