Double-balloon enteroscopy-assisted dilatation avoids surgery for small bowel strictures: A systematic review.
Double-balloon enteroscopy-assisted dilatation avoids surgery for small bowel strictures: A systematic review.
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DOI：
10.3748/wjg.v23.i45.8073
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发表时间：
2017-12-07
影响因子：
4.3
通讯作者：
Kaffes AJ
中科院分区：
文献类型：
--
作者：
Baars JE;Theyventhiran R;Aepli P;Saxena P;Kaffes AJ
目的：探讨双球囊肠镜检查在小肠狭窄治疗中的作用，提出小肠狭窄的标准入路。对涉及DBE治疗小肠狭窄患者的研究进行系统回顾。仅局限于小肠狭窄的研究被纳入，而那些有回肠结肠狭窄的研究被排除在外。共纳入13项研究，其中310例患者进行了扩张手术。平均随访时间为31.8个月。并发症发生率为4.8% /例，2.6% /例扩张。80%的患者避免了手术。在第一次扩张后，46%的人接受了再扩张治疗，只有17%的人需要手术。dbe辅助扩张在80%的小肠狭窄患者中避免了手术，是安全有效的。我们建议采用标准化方法治疗小肠狭窄。
To evaluate the therapeutic role of double-balloon enteroscopy (DBE) in small bowel strictures and to propose a standard approach to small bowel strictures. Systematic review of studies involving DBE in patients with small bowel strictures. Only studies limited to small bowel strictures were included and those with ileo-colonic strictures were excluded. In total 13 studies were included, in which 310 patients were dilated. The average follow-up time was 31.8 mo per patient. The complication rate was 4.8% per patient and 2.6% per dilatation. Surgery was avoided in 80% of patients. After the first dilatation, 46% were treated with re-dilatation and only 17% required surgery. DBE-assisted dilatation avoids surgery in 80% of patients with small bowel strictures and is safe and effective. We propose a standardized approach to small bowel strictures.
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