Many elderly Chinese are still afraid of Western medicine that is "dancing a knife", so unless they have to, they often choose traditional Chinese medicine. Indeed, when Hua Tu wanted to do a craniotomy for Cao Yuxiang, the result was a curiosity (the novelist's words, non-historical facts), which probably made the world Chinese medicine doctors stop the idea of ​​developing surgery. Of course, it is not to say that Western medicine only knows "moving a knife". After all, the high-end examination equipment such as CT and MR and the minimally invasive surgery concept can all be credited by Western medicine!
Speaking of Western medicine inspection equipment, the gastroscope is quite wonderful (the German Kusmol invented, the Japanese doctor Ujidaro improved). Conventional gastroscopy involves an elongated tube extending from the mouth of the subject through the esophagus to the stomach until the duodenum. I have never received such a "stimulus" of the means of inspection, can not accurately express the necessary feelings, but as long as I think about the feeling of using a finger to pull the throat when the fishbone is stuck, it can be imagined by multiplying the insurance by 10 times. . Probably countless doctors have experienced the torture of the gastroscope, so inventors are strongly urged to invent a gastroscope that is not disgusting as soon as possible. After more than one hundred and two years, the capsule gastroscope was officially on the stage in 2001 with the efforts of the Israelites.
Capsule gastroscope, as its name suggests, is a gastroscope with a capsule and a camera inside. Obviously, it is a capsule shape that can be swallowed directly, which perfectly solves the "stimulation" of ordinary gastroscope but is disgusting. In addition, the capsule gastroscope has the advantages of large amount of filming and one-time use. However, there is no perfect thing in the world, especially artificial things. The capsule gastroscope with so many good ones must have fatal shortcomings. The defect of the capsule gastroscope is fatal.
Like the abuse of antibiotics, capsule gastroscopy is actually used, especially in China. It is often reported that there is no worry, and patients know that capsule gastroscopy is good, but they don't know it. Take the Japanese Olympus capsule gastroscope, which is the most used in Chinese hospitals. For example, 2-3 percent of the subjects in use will have a "crack". This "crack" is not as simple as a snapper. Once it is stuck in the intestines, it can only be removed by cutting the abdomen. This must be said of the working principle of the capsule gastroscope. The capsule gastroscope is not a "lizard". It can grow on its own feet, but it crawls like a snake. This peristalsis relies on the peristalsis of the human stomach. A person with normal gastrointestinal motility may take the capsule gastroscope out of the body in just four or five hours, but what about the constipation? Therefore, the probability of jamming varies from person to person. For this reason, the capsule gastroscope of the Endoscopy Center of Yan Chai Hospital has been in place for half a year, and it is still not officially launched in the clinic.
In addition to the above-mentioned fatal shortcomings that may lead to passive "cutting" of the patient, since the doctor cannot control the direction and stay of the capsule gastroscope after swallowing the capsule gastroscope, there is a 2-3% inspection dead angle. And every 2-3 seconds to take photos, the whole process down to five or sixty thousand, of which seven or eighty is useless, bringing a huge burden to doctor screening. In addition, for the patient, one thing that is most concerned is the price. Because the capsule gastroscope is a one-time use, the price is very expensive, often about 10 times that of a normal gastroscope. This price is much higher than large equipment such as CT and MR, so it is difficult to become the first choice of the examinee. Even the best performing Israeli capsule capsules are still unable to avoid these drawbacks. Therefore, although capsule gastroscopy is a revolutionary breakthrough in gastroscopy, it is not the first choice for patients.
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