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AsiaIndustrial NetNews: “Can the doctor not do a gastroscope, I heard that the gastroscope is very sad, and it will cause nausea and vomiting”; “Can I do a painless colonoscopy at such an old age? Will there be any risks to anesthesia?”. . . . . . In the outpatient department of gastroenterology, there are often patients who are recommended by doctors to undergo gastrointestinal endoscopy due to various discomforts, but many of them often refuse the examination because of “discoloration of the mirror”. Fear that the inspection process is more painful and escape. So, is there a way to make endoscopy less painful without facing possible anesthesia accidents?It is gratifying that the latest introduction of Shanghai Sixth People’s HospitalrobotThe magnetron capsule technology just solves this problem.

Courtesy photo.Same below

No discomfort during safety and hygiene inspection

Compared with ordinary endoscopy, the most obvious advantage of capsule endoscopy is that there is no pain in the whole examination, and the feeling is no different from taking a pill, and the subject can live and work as usual. In addition, it has the advantages of single-use, safe and hygienic, no cross-infection, painless and non-invasive inspection process, and no anesthesia required.

According to Zhu Jinshui, director of the Department of Gastroenterology of the Sixth Hospital of the City, compared with the previous capsule endoscopy, the images of the Robotic magnetic control capsule have higher resolution and are more “movable” in the human body. “In the past, the movement of capsule endoscopy in the human body was only affected by gravity and natural peristalsis of the gastrointestinal tract, and the movement and direction of the capsule could not be controlled artificially, so the observation of many important parts and the key exploration of suspicious parts may be missed. In simple terms, the principle of endoscopy is the same as using a magnet to attract magnetic objects, enabling clinicians to control the trajectory of the capsule endoscope, observe the gastrointestinal tract from all directions, and reduce dead spots.”

It is reported that the magnetically controlled robotic capsule endoscopy is also suitable for the elderly, severe hypertension, severe arrhythmia, unstable angina, those with allergies to sedative (anaesthesia) drugs and other serious risks of anesthesia, and patients with gastrointestinal dysfunction. Endoscopy has broken through this restricted area, enabling some patients with absolute or relative contraindications to traditional endoscopy to receive timely detection and diagnosis, thereby obtaining early targeted treatment.

Filling the gap in small bowel diagnostics

The incidence of small bowel disease in the United States accounts for 6% of the total population. There is still a lack of relevant epidemiological research in my country. Previously, there was a lack of relevant accurate diagnosis techniques and methods for small bowel disease. With the introduction of the first generation of electronic enteroscopy, small bowel spiral CT and ordinary capsule endoscopy technology, my country has gradually carried out research on small bowel diseases since 2010. Acceptance and compliance is poor, and it is difficult to complete 5-7 meters of whole small bowel observation. Small bowel CT has a certain diagnostic value for intestinal mass and small bowel obstruction, but the diagnosis of early intestinal lesions, erosive enteritis and active intestinal bleeding is limited. Ordinary capsule endoscopy can only observe the small intestine at a 90-degree angle and has no power. It cannot observe the small intestine in 360 degrees, and it is easy to stay in the stomach. The electricity consumption time is less than 8 hours, resulting in a high failure rate of ordinary capsule endoscopy.

To this end, the city’s sixth hospital took the lead in introducing the second-generation high-tech magnetic-controlled robotic capsule endoscopy, and took the lead in diagnosing difficult diseases of the small intestine in China. The use of this high-tech can improve the accuracy of early screening of digestive tract tumors, especially the accuracy of early diagnosis of difficult diseases of the small intestine. mm) early diagnosis.

Since the domestic small bowel disease spectrum is still in the blind spot, from December 2015 to December 2016, the team led by Director Zhu Jinshui used this new technology to complete the diagnosis of 199 patients with suspected small bowel diseases, indicating that the diagnosis of difficult small bowel diseases in my country Substantial breakthroughs have been made in the application of new technologies, and it is at the forefront and advanced level at home and abroad.

According to reports, patients with suspected diseases of the small intestine only need to swallow a capsule endoscope the size of ordinary capsules with water, and the examination can be completed in about 15 minutes. There is no need to draw blood for liver function and hepatitis B virus tests before the examination, and the whole process is non-invasive. , No pain, no anesthesia, no cross infection.