Sempoux C
Department of Pathology, Cliniques Universitaires St-Luc, Brussels, Belgium.
Acta Gastroenterol Belg. 2006 Jan-Mar;69(1):49-51.
Histological examination of small intestinal biopsies is an essential step in the assessment of malabsorption syndromes. Multiple biopsies should be taken in the proximal jejunum or distal duodenum and correctly oriented. Histological evaluation has to be systematic considering villous architecture, inflammation and specific diagnostic elements. In celiac disease, even with the development of serology tests, the biopsy remains useful to follow the patient and to detect potential complications.
小肠活检的组织学检查是评估吸收不良综合征的关键步骤。应在空肠近端或十二指肠远端取多个活检样本,并正确定向。组织学评估必须系统地考虑绒毛结构、炎症和特定的诊断要素。在乳糜泻中,即使血清学检测有所发展,活检对于跟踪患者和检测潜在并发症仍然有用。