Double-balloon endoscopy for the diagnosis and treatment of small intestinal disease
Double-balloon endoscopy for the diagnosis and treatment of small intestinal disease
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DOI：
10.1016/j.bpg.2005.09.004
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发表时间：
2006-02-01
影响因子：
3.2
通讯作者：
Yamamoto, H
中科院分区：
文献类型：
--
作者：
Kita, H;Yamamoto, H
小肠的评估长期以来一直受到阻碍，因为它的长和多个复杂的循环配置。Yamamoto等人开发了一种插入内窥镜的新方法，称为小肠镜双气囊法，Fujinon双气囊内窥镜系统专门用于该应用。目前有两种类型的内窥镜可用于该技术。EN-450 P5是常规使用的薄型内窥镜，而EN-450 T5是具有直径为2.8 mm的较大辅助通道的治疗性双球囊内窥镜。双气囊内窥镜检查可使整个小肠可视化，还可在小肠中进行介入治疗。这种方法可以从口腔或肛门插入使用。通过内窥镜的受控移动观察受影响区域使得能够进行干预，包括活检、止血、球囊扩张、支架放置、息肉切除术和内窥镜粘膜切除术。在我们的大型研究系列中，证明双气囊内镜允许小肠探查，成功率与全肠镜相当。该程序是安全和有用的，它提供了高诊断率和治疗能力。
Evaluation of the small bowel has long been hampered because of its long and multiple complex loop configurations. Yamamoto et al have developed a new method of inserting an endoscope, known as the double-balloon method of enteroscopy, the Fujinon double-balloon endoscopy system being specialised for this application. Two types of endoscope are currently available for this technique. The EN-450 P5 is a thin endoscope for regular use, whereas the EN-450 T5 is a therapeutic double-balloon endoscope with a larger accessory channel of 2.8 mm in diameter. Double-balloon endoscopy enables visualisation of the entire small bowel and also allows for interventional therapy in the small intestine. This method can be used either from an oral or an anal insertion. Observation of an affected area with controlled movement of the endoscope enables interventions, including biopsies, haemostasis, balloon dilatation, stent placement, polypectomy and endoscopic mucosal resection, to be performed. In our large study series, it was demonstrated that double-balloon endoscopy permitted exploration of the small intestine with the high success rate of total enteroscopy. The procedure is safe and useful, and it provides high diagnostic yields and therapeutic capabilities.