دورية أكاديمية
Application of small bowel capsule endoscopy in children with Meckel's diverticulum.
| العنوان: | Application of small bowel capsule endoscopy in children with Meckel's diverticulum. |
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| المؤلفون: | Li L; Department of Gastroenterology, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders.; Ministry of Education Key Laboratory of Child Development and Disorders.; Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders, Chongqing, China., Zhan X; Department of Gastroenterology, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders.; Ministry of Education Key Laboratory of Child Development and Disorders.; Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders, Chongqing, China., Chen Y; Department of Gastroenterology, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders.; Ministry of Education Key Laboratory of Child Development and Disorders.; Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders, Chongqing, China., Li J; Department of Gastroenterology, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders.; Ministry of Education Key Laboratory of Child Development and Disorders.; Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders, Chongqing, China., Wang Y; Department of Gastroenterology, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders.; Ministry of Education Key Laboratory of Child Development and Disorders.; Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders, Chongqing, China. |
| المصدر: | European journal of gastroenterology & hepatology [Eur J Gastroenterol Hepatol] 2024 Jul 01; Vol. 36 (7), pp. 845-849. Date of Electronic Publication: 2024 May 09. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams And Wilkins Country of Publication: England NLM ID: 9000874 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1473-5687 (Electronic) Linking ISSN: 0954691X NLM ISO Abbreviation: Eur J Gastroenterol Hepatol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: London : Lippincott Williams And Wilkins Original Publication: [London, UK ; Philadelphia, PA, USA] : Current Science, c1989- |
| مواضيع طبية MeSH: | Meckel Diverticulum*/complications , Meckel Diverticulum*/diagnostic imaging , Meckel Diverticulum*/diagnosis , Capsule Endoscopy*/methods , Gastrointestinal Hemorrhage*/etiology, Humans ; Male ; Female ; Retrospective Studies ; Child ; Child, Preschool ; Adolescent ; Infant ; Intestine, Small/diagnostic imaging ; Intestine, Small/pathology ; Predictive Value of Tests ; Radionuclide Imaging ; Radiopharmaceuticals |
| مستخلص: | Background: Meckel 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. Methods: We retrospectively collected the clinical data of patients with suspected MD. Results: A 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. Conclusion: SBCE 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. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.) |
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| المشرفين على المادة: | 0 (Radiopharmaceuticals) |
| تواريخ الأحداث: | Date Created: 20240603 Date Completed: 20240603 Latest Revision: 20240801 |
| رمز التحديث: | 20240801 |
| مُعرف محوري في PubMed: | PMC11288385 |
| DOI: | 10.1097/MEG.0000000000002783 |
| PMID: | 38829942 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1473-5687 |
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| DOI: | 10.1097/MEG.0000000000002783 |