Sequential endoscopic balloon dilations using a calibrated small-caliber-tip transparent hood for a patient with 10 ileal strictures secondary to Crohn's disease.
Sequential endoscopic balloon dilations using a calibrated small-caliber-tip transparent hood for a patient with 10 ileal strictures secondary to Crohn's disease.
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使用校准的小口径尖端透明罩对患有继发于克罗恩病的 10 处回肠狭窄的患者进行顺序内窥镜球囊扩张。
DOI：
10.1055/a-1738-9357
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发表时间：
2022
期刊：
影响因子：
9.3
通讯作者：
H. Yamamoto
中科院分区：
文献类型：
--
作者：
K. Oguro;T. Yano;H. Sakamoto;M. Nagayama;Y. Hayashi;A. Lefor;H. Yamamoto
克罗恩ʼS病患者可能存在多发性小肠狭窄，手术切除可导致短肠综合征。内窥镜球囊扩张术(EBD)是避免手术切除的另一种治疗方法[1]；然而，对于多发性狭窄的EBD手术被认为具有挑战性。经过校准的小口径顶端透明(铸造)罩(TOP公司，日本东京)(▶图1)[2]使通过狭窄插入导丝和气囊导管变得更容易。铸型罩可以测量狭窄的ʼS内径(▶图2)，这是选择合适的球囊导管尺寸进行循证医学检查的重要因素。虽然通过扩张的狭窄通常很困难，但管型罩使其更容易通过EBD后的狭窄。因此，管型罩使得进行多狭窄的EBD变得更容易。此外，双气囊内窥镜(DBE)电子视频期间的内窥镜小肠灌肠
Patients with Crohnʼs disease may have multiple strictures of the small intestine, and surgical resection can lead to shortbowel syndrome. Endoscopic balloon dilation (EBD) is an alternative treatment to avoid surgical resection [1]; however, it is considered challenging to perform EBDs of multiple strictures. The calibrated small-caliber-tip transparent (CAST) hood (TOP Corporation, Tokyo, Japan) (▶Fig. 1) [2] makes it easier to insert a guidewire and a balloon catheter through a stricture. The CAST hood enables measurement of the strictureʼs inner diameter (▶Fig. 2), which is an important factor in choosing the appropriate size of balloon catheter for EBD. Although the passage through dilated strictures is frequently difficult, the CAST hood makes it easier to pass through post-EBD strictures. Therefore, the CAST hood makes it easier to perform EBDs of multiple strictures. Furthermore, endoscopic enteroclysis during double-balloon endoscopy (DBE) E-Videos