Exploring the Small Bowel: Update on Deep Enteroscopy.
Exploring the Small Bowel: Update on Deep Enteroscopy.
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DOI：
10.1007/s11894-016-0503-3
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发表时间：
2016-06-01
影响因子：
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通讯作者：
DiMaio, Christopher J
中科院分区：
文献类型：
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作者：
Riff, Brian P;DiMaio, Christopher J
深度小肠镜可以诊断和治疗传统上需要手术干预的小肠疾病。有各种内窥镜平台，使用气囊和旋转溢流管来促进小肠插管，甚至允许进行完全小肠镜检查。不明原因的消化道出血是深部肠镜检查最常见的指征。通过对标准EGD或推进式小肠镜所不能显示的小肠节段进行可视化，深度小肠镜对出血来源的识别和治疗具有很高的准确率。除了不明原因的出血，其他常见的适应症包括克罗恩病的诊断和分期，胶囊内窥镜检查结果的评估，以及可能的小肠肿瘤的调查。大型内窥镜检查数据库显示，深度小肠镜检查不仅有效，而且安全。最近的研究集中于比较不同内窥镜平台的诊断率、疗效和总的肠镜检查率。
Deep enteroscopy allows for the diagnosis and treatment of small bowel disorders that historically required operative intervention. There are a variety of endoscopic platforms using balloons and rotational overtubes to facilitate small bowel intubation and even allow for total enteroscopy. Obscure gastrointestinal bleeding is the most common indication for deep enteroscopy. By visualizing segments of the small bowel not possible through standard EGD or push enteroscopy, deep enteroscopy has an established high rate of identification and treatment of bleeding sources. In addition to obscure bleeding, other common indications include diagnosis and staging of Crohn's disease, evaluation of findings on capsule endoscopy and investigation of possible small bowel tumors. Large endoscopy databases have shown deep enteroscopy to be not only effective but safe. Recent research has focused on comparing the diagnostic rates, efficacy, and total enteroscopy rates of the different endoscopic platforms.