EXAMINATION OF THE EFFICACY OF THE CAPSULE ENDOSCOPY IN ELDERLY PEOPLE

Aims:

Increases the search of gastrointestinal disease in the elderly, the need for the search of the small intestine disease is increasing. In the elderly, using small bowel capsule endoscopy (CE), it was to evaluate the efficacy.

Methods:

The study, A group of more than 75 years of age, less than 75 years of age as the B group, to compare the clinical data in between the two groups, to examine the usefulness of the elderly. CE performed in our Hospital from July, 2015 to March, 2016 is 70 cases (70 people). The A group is 36 cases (35 people), B group is 36 cases (35 people). We were compared to stomach and small intestine transit time, blood data, a testing purpose, an existence findings rate in the CE.

Results:

As for the sex differences, male/women, A group 15/20, B group 23/12, the average age are A group 83.2 years old, B group 50.7 years old. Small intestine transit time (min) is A group an average of 398.3, B group average 283.1 (p = 0.0141). RBC (× 10⁴/µl) is A group an average of 335.2, B group average 395.0 (p = 0.0097). As for the testing purpose, obscure gastrointestinal bleeding (OGIB) is 23 cases in A group (63.9%), 21 cases in B group (58.3%) (p = 0.6287). The existence findings rate is 16 cases in A group (44.4%), 19 cases in B group (52.8%) (p = 0.4793).

Conclusions:

Elderly people doing CE presented a long time in small intestinal transit time and an erythroid decrease. The enforcement purpose many examination of OGIB, there was no significant difference in the two groups. Similarly, the percentage of accepted findings to enforce CE, 16 cases (44.4%) in the elderly and many, admits usefulness. Capsule endoscopy also in the elderly is there is a very useful, is considered an important examination method.