When the
peristalsis of the
stomach or
esophagus is slow or there is obstruction, the capsule will stay in the stomach or
esophagus for a long time, and cannot enter the small intestine or the
battery energy has been consumed too much when entering the small intestine, and it is no longer possible to take pictures of the entire small intestine.
Missed diagnosis due to inability to complete the examination
Another less common
disadvantage is that
capsule endoscopy is still too bulky compared to clinically administered capsule-shaped pills, and very few patients (mainly young patients) cannot swallow due to fear or
throat muscle spasm. Into the
esophagus, making the test impossible
[0003] When the above situation occurs, it is necessary for the physician to send the capsule endoscope into the descending duodenum with the help of gastroscope and endoscope snare (or basket), which increases the pain of the patient, is time-consuming, labor-intensive, and may unsuccessful
In addition, capsule
endoscopy is currently very expensive. Once the inspection is unsuccessful, it will easily lead to conflicts among patients, hospitals, distributors and manufacturers.
[0004] In view of the above problems, relevant
patent literature has reported that a special pusher can be used to deliver the capsule endoscope to the duodenum with the assistance of a gastroscope. It is more complicated, and it is only for patients who cannot swallow
capsule endoscopes smoothly. As mentioned above, the shell of
capsule endoscopes is made of smooth
polymer materials. In clinical practice, most patients can swallow them smoothly and enter the 12 the duodenum, so in adults, the routine use of a pusher to enter the duodenum is not required
However, the shell of the capsule endoscope is very smooth, and it is even more difficult to take the retained capsule endoscope out of the body through the gastroscope than directly into the duodenum, so the practical value of the pusher is very limited
At present, clinically, for capsule
endoscopy that stays in the esophagus and stomach, under the guidance of a gastroscope, a snare or a basket is used to trap the capsule and send it to the duodenum. Smooth, the snare or basket is not easy to net the capsule, even after the net is caught, it can only net the middle part of the capsule endoscope shell horizontally. The resistance to passing through the
pylorus is very high, and the steel wire of the snare or the basket can not
resist the resistance and bend, resulting in the failure of the capsule endoscope to pass through the
pylorus or slippage. Therefore, gastroscopy doctors need to spend a lot of time and energy to complete this work, and the pressure is very high during the operation. At the same time, the gastroscope stays in the patient's body for a long time, which increases the pain and risk of the patient
[0005] CN200480028555.1 discloses a
digestive canal inspection device, including a capsule endoscope capable of
digestive canal inspection, a flexible tubular body, and a flexible
rope-like member inserted into the tubular body. A connecting part is provided in the capsule endoscope, and the
rope-shaped part is detachably connected to the connecting part of the capsule endoscope to detachably connect the tube body and the capsule endoscope. It is necessary to make the connection on the capsule endoscope The part makes the structure complicated and needs to be specially made, which increases the production cost and affects the smoothness of the surface of the capsule endoscope. When disassembling and separating, it is necessary to
cut the connecting
rope or destroy the connecting part, which may occur when there is no need for separation. The connecting rope is
cut or the connecting part is damaged, and it may not be possible to
cut the connecting rope or destroy the connecting part when separation is required. Therefore, the reliability of the device is poor and the operation is inconvenient