캡슐내시경. EndoTODAY 이준행

[Capsule endoscopy]

1. Classification of VCE findings (P0-2)

Highly relevant P2 lesion (임상적응에 부합하는 결과를 얻음) - Angioectasia, Dieulafoy’s lesion, varices, presence of active bleeding, ulcerations, multiple (≥3) erosions, and diverticula

Less relevant P1 lesion (임상적응에 부합하지 않는 우연한 소장질환을 진단) - Red spots, visible submucosal veins, and erosions (<3)

Absent P0 lesion (소장질환의 소견을 진단하지 못함)

2. 2016년 2월 25일 목요내시경집담회에서 소개된 내용

나이에 따른 차이
Active small bowel bleeding
Inflammatory lesions
NSAID induded enteropathy
Vascular lesions
Neoplastic lesions
Meckel's diverticulum

4. GIVEN SB3

1) 해상도 개선

2) Frame 조정 : 1-6 per sec

3) Real time view (RTV)

5. Capsule 내시경 판독 예문 (2019)

김태준 교수님께서 아래와 같이 알려주셨습니다.

"캡슐내시경 판독예문을 내시경학회 가이드라인 권고사항에 맞추어 아래와 같이 수정하였습니다. 참고하시기 바랍니다."

[Capsule endoscopy report]

1. History
i) Medical history:
ii) Drug history, recent: none / NSAID / Aspirin / steroid / antiplatelet / anticoagulant / others

2. Clinical indications for CE

3. Onset of chief complaints: days / months / yr ago

4. Studies done before CE
i) EGD (N/Y: ________)
ii) Colonoscopy (N/Y________)
iii) CT (N/Y______)
iv) single balloon enteroscopy (N/Y______)
v) others (N/Y______)

5. Characteristics of CE examination
i) Preparation quality : Excellent / adequate / inadequate, but exam completed / inadequate, precluding exam
ii) Visualization quality : Excellent / inadequate illumination / inadequate preparation
iii) Endoscopic delivery into duodenum : yes / no

6. Extent of examination
i) Total battery time : h m
ii) Stomach transit time : h m
iii) Small Bowel transit time : h m
iV) Colon transit time : h m

7. Findings
i) Major :
ii) Minor :
iii) Minor :

8. Diagnostic impression
i)
ii) Level of certainty : established of / suspicious of / exclusion of / follow up of in addition,

9. Complication : None
- CE retention (N/Y - Site : esophagus / stomach / jejunum / ileum)
- Aspiration (N/Y - endoscopic removal / surgical removal)

10. recommendation :

[References]

1) Capsule endoscopy로 원인을 밝히지 못하였던 obscure GI bleeding에서 CT가 도움이 되었던 인상적인 증례