캡슐 내시경 검사의 지연 식도 배출을 일으키는 위험 인자에 대한 분석
Analysis of the Risk Factors That Affect Esophageal Transit Delay When Performing Wireless Capsule Endoscopy

대한소화기내시경학회지 2009년 38권 5호 p.254 ~ p.259

김동회(Kim Dong-Hoi) - 울산대학교 의과대학 서울아산병원 내과학교실
변정식(Byeon Jeong-Sik) - 울산대학교 의과대학 서울아산병원 내과학교실
명승재(Myung Seung-Jae) - 울산대학교 의과대학 서울아산병원 내과학교실
양석균(Yang Suk-Kyun) - 울산대학교 의과대학 서울아산병원 내과학교실
김진호(Kim Jin-Ho) - 울산대학교 의과대학 서울아산병원 내과학교실
예병덕(Ye Byong-Duk) - 울산대학교 의과대학 서울아산병원 내과학교실
윤순만(Yoon Soon-Man) - 울산대학교 의과대학 서울아산병원 내과학교실
김경조(Kim Kyung-Jo) - 울산대학교 의과대학 서울아산병원 내과학교실
노은진(Rho Eun-Jin) - 서울의료원 영상의학과
유동준(Yoo Dong-Jun) - 울산대학교 의과대학 서울아산병원 내과학교실

Abstract

Background/Aims: Capsule endoscopy has become an excellent diagnostic tool for various small bowel diseases. However, some cases of delayed passage of the capsule in the esophagus without obstruction have been reported. The aims of this study were to analyze the risk factors associated with esophageal transit delay.

Methods: From Nov. 2002 to July. 2008, 141 patients underwent capsule endoscopy. Among them, 3 patients were excluded. The 138 patients were divided into two groups (the delayed esophageal transit time (DETT) group, and the normal esophageal transit time (NETT) group), and we compared their characteristics, including age, gender, the reason for examination, the total transit time and the rate of an incomplete examination.

Results: DETT occurred in 7 patients (5.1%). The mean age (61.14+/-0.70 vs. 44.01+/-7.37, respectively, p=0.02) was higher in the DETT groups. No statistically increased risk was found for gender and the indications for the procedure. The DETT group showed a higher rate of incomplete examination than did the NETT group (7/7 vs. 41/131, respectively, p=0.001).

Conclusions: Even though delayed esophageal transit on capsule endoscopy is not a serious complication, it could lead to an incomplete examination. Therefore, checking the chest X-rays after swallowing the capsule can be helpful to notice delayed esophageal transit earlier in the procedure.

키워드

캡슐내시경, 식도, 통과 지연
Capsule endoscopy, Esophagus, Transit delay
원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
연구기간(Period)
중재방법(Intervention Type)
중재명칭(Intervention Name)
키워드(Keyword)
유효성결과(Recomendation)
Delayed esophageal transit on capsule endoscopy is not a serious complication, but it could lead to an incomplete examination.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
출판년도(Year)
참여저자수(Authors)
대표저자
DOI
KCD코드
ICD 03
건강보험코드