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NTIS 바로가기대한소아소화기영양학회지 = Korean journal of pediatric gastroenterology and nutrition, v.13 no.1, 2010년, pp.1 - 6
The small bowel is the most difficult intestinal segment to examine. Radiologic tests are mostly insensitive and double-balloon enteroscopy is unsuitable for the younger child. Capsule endoscopy is a novel wireless method of investigation of the small bowel. The primary indications for capsule endos...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
소장조영술이 소아에게 시행하기 어려운 이유는? | 소장은 검사하기가 가장 어려운 위장관이다. 소장조영술은 민감도가 낮고 방사선에 노출되며, 이중풍선 소장내시경은 전신마취가 필요한 침습적인 검사이므로 소아에서 시행하기 힘들다. CT 검사는 방사선에 노출이 많고 혈관이형성(angiodysplasia) 같은 점막의 병변을 찾아내기가 어렵다. | |
소장 크론병의 진단이 중요한 이유는? | 소장 크론병의 진단은 중요한데, 질환의 활동성과 범위를 결정하여 적절한 치료를 할 수 있기 때문이다. 그러나 기존의 검사법으로는 소장의 크론병을 진단하기가 어려웠다. | |
캡슐내시경의 크기 와 무게는? | 현재 우리나라에서는 PilCam SB (Given Imaging, Israel)와 MiroCam (Intromedic, Korea)이 임상에 사용되고 있다. 캡슐의 크기와 무게는 11 mm×24∼26 mm, 3.7 g이고 캡슐의 렌즈는 140∼156도 각도로 전방을 촬영 한다. 캡슐을 삼키면 연동운동에 장을 따라 내려가면서 영상을 촬영하여 허리 벨트에 부착된 수신기에 1초에 2∼3장씩 영상을 전송한다. |
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Arguelles-Arias F, Caunedo A, Romero J, Sanchez A, Rodriguez-Tellez M, Pellicer FJ, et al. The value of capsule endoscopy in pediatric patients with a suspicion of Crohn's disease. Endoscopy 2004;36:869-73.
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Moy L, Levine J. Capsule endoscopy in the evaluation of patients with unexplained growth failure. J Pediatr Gastroenterol Nutr 2009;48:647-50.
Bousvaros A, Antonioli DA, Colletti RB, Dubinsky MC, Glickman JN, Gold BD, et al. Differentiating ulcerative colitis from Crohn disease in children and young adults: report of a working group of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the Crohn's and Colitis Foundation of America. J Pediatr Gastroenterol Nutr 2007;44:653-74.
Seidman EG, Dirks MH. Capsule endoscopy in the pediatric patient. Curr Treat Options Gastroenterol 2006;9:416-22.
Burke CA, Santisi J, Church J, Levinthal G. The utility of capsule endoscopy small bowel surveillance in patients with polyposis. Am J Gastroenterol 2005;100:1498-502.
Postgate A, Hyer W, Phillips R, Gupta A, Burling D, Bartram C, et al. Feasibility of video capsule endoscopy in the management of children with Peutz-Jeghers syndrome: a blinded comparison with barium enterography for the detection of small bowel polyps. J Pediatr Gastroenterol Nutr 2009;49:417-23.
Wu JF, Liou JH, Lien HC, Hsu WM, Fang YJ, Chang MH, et al. Bleeding from ileal nodular lymphoid polyposis identified by capsule endoscopy. J Pediatr Gastroenterol Nutr 2004;39:295-8.
Iaquinto G, Fornasarig M, Quaia M, Giardullo N, D'Onofrio V, Iaquinto S, et al. Capsule endoscopy is useful and safe for small-bowel surveillance in familial adenomatous polyposis. Gastrointestinal Endoscopy 2008;67:61-7.
Thomson M, Fritscher-Ravens A, Mylonaki M, Swain P, Eltumi M, Heuschkel R, et al. Wireless capsule endoscopy in children: a study to assess diagnostic yield in small bowel disease in paediatric patients. J Pediatr Gastroenterol Nutr 2007;44:192-7.
El-Matary W. Wireless capsule endoscopy: indications, limitations, and future challenges. J Pediatr Gastroenterol Nutr 2008;46:4-12.
Culliford A, Daly J, Diamond B, Rubin M, Green PH. The value of wireless capsule endoscopy in patients with complicated celiac disease. Gastrointest Endosc 2005;62:55-61.
Atay O, Mahajan L, Kay M, Mohr F, Kaplan B, Wyllie R. Risk of capsule endoscope retention in pediatric patients: a large single-center experience and review of the literature. J Pediatr Gastroenterol Nutr 2009;49:196-201.
Boivin ML, Lochs H, Voderholzer WA. Does passage of a patency capsule indicate small-bowel patency? A prospective clinical trial? Endoscopy 2005;37:808-15.
Rondonotti E, Herrerias JM, Pennazio M, Caunedo A, Mascarenhas-Saraiva M, de Franchis R. Complications, limitations, and failures of capsule endoscopy: a review of 733 cases. Gastrointest Endosc 2005;62:712-6.
Leighton JA, Sharma VK, Srivathsan K, Heigh RI, McWane TL, Fleischer DE, et al. Safety of capsule endoscopy in patients with pacemakers. Gastrointest Endosc 2004;59:567-9.
Waterman M, Gralnek IM. Capsule endoscopy of the esophagus. J Clin Gastroenterol 2009;43:605-12.
Van Gossum A, Munoz-Navas M, Fernandez-Urien I, Carretero C, Gay G, Delvaux M, et al. Capsule endoscopy versus colonoscopy for the detection of polyps and cancer. N Engl J Med 2009;361:264-70.
Ciuti G, Donlin R, Valdastri P, Arezzo A, Menciassi A, Morino M, et al. Robotic versus manual control in magnetic steering of an endoscopic capsule. Endoscopy 2010;42:148-52.
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