Application of small bowel capsule endoscopy in children with Meckel's diverticulum

作者全名：Li, Lin; Zhan, Xue; Chen, Yuxia; Li, Jun; Wang, Yuting

作者地址：[Li, Lin; Zhan, Xue; Chen, Yuxia; Li, Jun; Wang, Yuting] Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorders, Dept Gastroenterol,Minist Educ Key Lab Child Dev &, Chongqing, Peoples R China; [Li, Lin; Zhan, Xue; Chen, Yuxia; Li, Jun; Wang, Yuting] Minist Educ Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Li, Lin; Zhan, Xue; Chen, Yuxia; Li, Jun; Wang, Yuting] Chongqing Key Lab Child Neurodev & Cognit Disorder, Chongqing, Peoples R China; [Wang, Yuting] Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorders, Dept Gastroenterol, Chongqing, Peoples R China

通信作者：Wang, YT (通讯作者)，Chongqing Med Univ, Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorders, Dept Gastroenterol, Chongqing, Peoples R China.

来源：EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001237602600007

JCR分区：Q3

影响因子：2.3

年份：2024

卷号：36

期号：7

开始页：845

结束页：849

文献类型：Article

关键词：children; diagnosis; Meckel's diverticulum; small bowel capsule endoscopy

摘要：BackgroundMeckel diverticulum (MD) is an important cause of gastrointestinal bleeding in children. Small bowel capsule endoscopy (SBCE) is a first-line examination method applied to patients with obscure gastrointestinal bleeding, but there are few studies on its application in children with MD. This article aims to provide evidence in favor of the auxiliary diagnosis of MD in children by analyzing its characteristics using SBCE.MethodsWe retrospectively collected the clinical data of patients with suspected MD.ResultsA total of 58 children were included in this study. All 58 children presented overt gastrointestinal bleeding (bloody stool or melena). Capsule endoscopy identified protruding lesions in 2 cases, double-lumen changes in 30 cases (all considered as MD), vascular lesions in 7 cases, intestinal mucosal inflammatory lesions in 3 cases, ulcers or erosion in 3 cases, and no obvious abnormalities in SBCE in 12 cases. Both SBCE and technetium-99 scans were performed for 24 cases, 22 of which were diagnosed MD by their combined results, giving a diagnostic coincidence rate of 91.7%. Eight cases were highly suspected as MD but were negative for the technetium-99 scan and positive for SBCE.ConclusionSBCE has high accuracy in the diagnosis of MD in children, especially when performed in combination with a technetium-99 scan, which can greatly improve the diagnostic rate of MD in children.

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