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[Capsule endoscopy]

1. Classification of VCE findings (P0-2)

Highly relevant P2 lesion (ÀÓ»óÀûÀÀ¿¡ ºÎÇÕÇÏ´Â °á°ú¸¦ ¾òÀ½) - Angioectasia, Dieulafoy¡¯s lesion, varices, presence of active bleeding, ulcerations, multiple (¡Ã3) erosions, and diverticula

Less relevant P1 lesion (ÀÓ»óÀûÀÀ¿¡ ºÎÇÕÇÏÁö ¾Ê´Â ¿ì¿¬ÇÑ ¼ÒÀåÁúȯÀ» Áø´Ü) - Red spots, visible submucosal veins, and erosions (<3)

Absent P0 lesion (¼ÒÀåÁúȯÀÇ ¼Ò°ßÀ» Áø´ÜÇÏÁö ¸øÇÔ)


2. 2016³â 2¿ù 25ÀÏ ¸ñ¿ä³»½Ã°æÁý´ãȸ¿¡¼­ ¼Ò°³µÈ ³»¿ë

³ªÀÌ¿¡ µû¸¥ Â÷ÀÌ

Active small bowel bleeding

Inflammatory lesions

NSAID induded enteropathy

Vascular lesions

Neoplastic lesions

Meckel's diverticulum


4. GIVEN SB3

1) ÇØ»óµµ °³¼±

2) Frame Á¶Á¤ : 1-6 per sec

3) Real time view (RTV)


5. Capsule ³»½Ã°æ Æǵ¶ ¿¹¹® (2019)

±èÅÂÁØ ±³¼ö´Ô²²¼­ ¾Æ·¡¿Í °°ÀÌ ¾Ë·ÁÁּ̽À´Ï´Ù.

"ĸ½¶³»½Ã°æ Æǵ¶¿¹¹®À» ³»½Ã°æÇÐȸ °¡À̵å¶óÀÎ ±Ç°í»çÇ׿¡ ¸ÂÃß¾î ¾Æ·¡¿Í °°ÀÌ ¼öÁ¤ÇÏ¿´½À´Ï´Ù. Âü°íÇϽñ⠹ٶø´Ï´Ù."


[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 endoscopy·Î ¿øÀÎÀ» ¹àÈ÷Áö ¸øÇÏ¿´´ø obscure GI bleeding¿¡¼­ CT°¡ µµ¿òÀÌ µÇ¾ú´ø ÀλóÀûÀÎ Áõ·Ê

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.