Kastin Darren A, Buchman Alan L, Barrett Terry, Halverson Amy, Wallin Anita
Division of Gastroenterology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
J Clin Gastroenterol. 2004 Apr;38(4):346-9. doi: 10.1097/00004836-200404000-00009.
Video capsule endoscopy is a new diagnostic modality that allows imaging of the entire small intestine. We report on a patient with a presumed but undocumented case of Crohn's disease who was found to have 9 ileal strictures by video capsule endoscopy. These strictures were undetected by small intestinal contrast studies and required surgical intervention. This case report suggests that small bowel radiographic studies may not be as sensitive for the detection of clinically significant luminal lesions as once thought.
视频胶囊内镜检查是一种新的诊断方法,可对整个小肠进行成像。我们报告了一例疑似但未确诊克罗恩病的患者,该患者经视频胶囊内镜检查发现有9处回肠狭窄。小肠造影检查未发现这些狭窄,需要进行手术干预。本病例报告提示,小肠造影检查对于检测临床上有意义的腔内病变可能并不像曾经认为的那样敏感。