MiroCam¢ç ĸ½¶³»½Ã°æ °Ë»çÀÇ ¿ÏÀü ¼ÒÀå °Ë»ç ¹× ¾ç¼º Áø´Ü¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â ¿äÀÎ
Factors Affecting Complete Small Bowel Study and Diagnostic Yield in MiroCam¢ç Capsule Endoscopy
Intestinal Research 2011³â 9±Ç 1È£ p.27 ~ p.34
Á¤¿øÈ£(Chung Won-Ho) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
°íÁø¼º(Koh Jin-Sung) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±è¼ºÈ£(Kim Sung-Ho) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÀÓ»ó¾Æ(Lim Sang-Ah) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÀÓÀºÇý(Lim Eun-Hye) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÀÌÁØ¿µ(Lee Joon-Young) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÁÖ¹®°æ(Joo Moon-Kyung) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
À̹üÀç(Lee Beom-Jae) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±èÁöÈÆ(Kim Ji-Hoon) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
¿¬Á¾Àº(Yeon Jong-Eun) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
¹ÚÁ¾Àç(Park Jong-Jae) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
±èÀç¼±(Kim Jae-Seon) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
º¯°ü¼ö(Byun Kwan-Soo) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
¹Ú¿µÅÂ(Park Young-Tae) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÀÌ»ó¿ì(Lee Sang-Woo) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÃÖÀçÇö(Choi Jai-Hyun) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
Abstract
¸ñÀû: 2001³â ĸ½¶³»½Ã°æÀÌ °³¹ßµÇ¾î ÀÓ»ó¿¡ »ç¿ëµÈ ÀÌ·¡·Î ¼ÒÀå ÁúȯÀÇ Áø´ÜÀº ºñ¾àÀûÀ¸·Î ¹ßÀüÇØ ¿Ô´Ù. 2007³â »õ·Î¿î ĸ½¶³»½Ã°æÀÎ MiroCam¢çÀÌ °³¹ßµÇ¾úÀ¸³ª ÀÓ»óÀû À¯¿ë¼º¿¡ ´ëÇÑ ¿¬±¸´Â ¾ÆÁ÷±îÁö ºÎÁ·ÇÏ´Ù. ÀÌ¿¡ À̹ø ¿¬±¸¿¡¼´Â ¼ÒÀåÁúȯÀ¸·Î MiroCam¢ç ĸ½¶³»½Ã°æ °Ë»ç¸¦ ½ÃÇàÇÑ È¯ÀÚµéÀÇ °Ë»ç °á°ú¸¦ ÅëÇÏ¿© ¿ÏÀü ¼ÒÀå °Ë»ç¿Í ¾ç¼º Áø´Ü¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â ¿äÀο¡ ´ëÇÏ¿© ºÐ¼®ÇÏ¿´´Ù.
´ë»ó ¹× ¹æ¹ý: 2007³â 6¿ùºÎÅÍ 2010³â 2¿ù±îÁö °í·Á´ëÇб³ ±¸·Îº´¿ø¿¡¼ MiroCam¢ç ĸ½¶³»½Ã°æ °Ë»ç(Intromedic Co., Seoul, Korea)¸¦ ½ÃÇàÇÑ 103¸íÀÇ Àǹ« ±â·Ï, ĸ½¶³»½Ã°æ °Ë»ç Æǵ¶ ¼Ò°ß, »óÇϺΠÀ§Àå°ü ³»½Ã°æ °Ë»ç ¼Ò°ß µîÀ» ÈÄÇâÀûÀ¸·Î ºÐ¼®ÇÏ¿´´Ù.
°á°ú: ºÐ¼®´ë»ó 103¸íÀÇ Æò±Õ ¿¬·ÉÀº 55.47¼¼(16-99¼¼)¿´°í, ³²ÀÚ 67¸í(65%), ¿©ÀÚ 36¸í(35%)À̾ú´Ù. ĸ½¶³»½Ã°æ °Ë»ç¸¦ ½ÃÇàÇÏ°Ô µÈ ÀûÀÀÁõÀ¸·Î´Â Ç÷º¯ 77¸í(74.8%), ºóÇ÷ 8¸í(7.8%), »ó¼¼ºÒ¸íÀÇ º¹Åë 12¸í(11.7%), ±âŸ üÁß°¨¼Ò, ¸¸¼º ¼³»ç µîÀÇ °Ë»ç¸¦ À§ÇÑ °æ¿ì°¡ 6¸í(5.8%)À̾ú´Ù. À§Åë°ú ½Ã°£Àº Æò±Õ 59.9¡¾ 88.3ºÐ(1-630), ¼ÒÀåÅë°ú½Ã°£Àº Æò±Õ 396.0¡¾131.7ºÐ(117-708)À̾ú´Ù. 85¿¹(82.5%)¿¡¼ Àüü ¼ÒÀå¿¡ ´ëÇÑ °Ë»ç°¡ ÀÌ·ç¾îÁ³À¸³ª 18¿¹(17.5%)¿¡¼´Â ¼ÒÀå ÀüºÎ¸¦ °Ë»çÇϴµ¥ ½ÇÆÐÇÏ¿´´Ù. À§Åë°ú ½Ã°£Àº ¿ÏÀü ¼ÒÀå °Ë»çÀÇ À¯ÀÇÇÑ ÀÎÀÚ¿´´Ù(OR=0.991, 95% CI=0.984-0.998, P=0.012). 81¿¹(78.6%)¿¡¼ ¼ÒÀå º´º¯ÀÌ ¹ß°ßµÇ¾úÀ¸¸ç 53¿¹(51.5%)¿¡¼ ÀûÀÀÁõ°ú ¿¬°üµÈ Áø´ÜÀû °¡Ä¡¸¦ º¸ÀÌ´Â ¼Ò°ßÀ» ¹ß°ßÇÏ¿´´Ù. ½Ã¾ß ¼öÁØÀº ¾ç¼º Áø´ÜÀÇ À¯ÀÇÇÑ ÀÎÀÚ¿´´Ù(OR=6.776, 95% CI=1.32-34.70, P= 0.022).
°á·Ð: ªÀº À§Åë°ú ½Ã°£ÀÌ ¿ÏÀü ¼ÒÀå °Ë»ç¿¡ ´ëÇÑ À¯ÀÇÇÑ ÀÎÀÚÀ̸ç, ÀûÀýÇÑ Á¤°á¿¡ ÀÇÇÑ ÁÁÀº ¿µ»óÀÇ È¹µæÀÌ ¾ç¼º Áø´Ü¿¡ ´ëÇÑ À¯ÀÇÇÑ ÀÎÀÚ¿´´Ù.
Background/Aims: Mirocam¢ç capsule endoscopy has been widely used in Korea; however, data with respect to Mirocam¢ç capsule endoscopy is lacking. We have assessed the factors affecting complete small bowel studies and diagnostic yield in Mirocam¢ç capsule endoscopic studies.
Methods: We retrospectively analyzed 103 cases that were assessed with Mirocam¢ç capsule endoscopy between June 2007 and February 2010 at Guro Korea University Hospital.
Results: The mean age of the 103 cases was 55.47 years (range, 16-99 years) and 67 cases (65%) were male. The indications for capsule endoscopy were hematochezia/melena (77 cases, 74.8%), anemia (8 cases, 7.8%), abdominal pain (12 cases, 11.7%), and miscellaneous (weight loss and chronic diarrhea; 6 cases, 5.8%). The mean stomach transit time was 59.9¡¾88.3 minutes (range, 1-630 minutes) and the mean small bowel transit time was 396.0¡¾131.7 minutes (range, 117-708 minutes). The rate of successfully performing a complete small bowel study was 82.5% (85 cases), and the stomach transit time was a significant factor for a complete small bowel study (OR=0.991, 95% CI= 0.984-0.998, P=0.012). The diagnostic yield was 51.5% (53 cases); visual quality was a significant factor in determining the diagnostic yield (OR=6.776, 95% CI=1.32-34.70, P=0.022).
Conclusions: In a Mirocam¢ç capsule endoscopic study, short stomach transit time was a significant factor affecting completion of the small bowel study. Achieving excellent visual quality by good bowel preparation was a significant factor for improving the diagnostic yield.
Å°¿öµå
¹Ì·ÎÄ·, ĸ½¶³»½Ã°æ, ¿ÏÀü ¼ÒÀå °Ë»ç, ¾ç¼º Áø´Ü
Mirocam¢ç, Capsule Endoscopy, Complete Small Bowel Study, Diagnostic Yield
KMID :
0988920110090010027
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)
The diagnostic yield was 51.5% (53 cases); visual quality was a significant factor in determining the diagnostic yield (OR=6.776, 95% CI=1.32-34.70, P=0.022).