应用双气囊小肠镜治疗小肠隔膜病
Treatment of small-bowel diaphragm disease by using double-balloon enteroscopy.
作者信息
Mehdizadeh Shahab, Lo Simon K
机构信息
Department of Gastroenterology, Cedars-Sinai Medical Center, UCLA School of Medicine, Los Angeles, California, USA.
出版信息
Gastrointest Endosc. 2006 Dec;64(6):1014-7. doi: 10.1016/j.gie.2006.05.026. Epub 2006 Aug 30.
BACKGROUND
Double-balloon enteroscopy is a new technique that allows endoscopic therapy throughout the entire length of the small bowel. Diaphragm disease, characterized by thin septa that narrow the small-bowel lumen, is traditionally treated surgically by segmental resection.
OBJECTIVE
To report successful endoscopic treatment of diaphragm disease by double-balloon enteroscopy.
PATIENTS
Three patients.
DESIGN
Case report.
INTERVENTIONS
Double-balloon enteroscopy and stricture balloon dilation.
RESULTS
We report, for the first time, 3 cases in which diaphragm strictures were successfully treated during double-balloon enteroscopy. In 2 cases, a retained capsule endoscope was removed by the retrograde approach after stricture dilation.
LIMITATIONS
Small number of patients and brief length of patient follow up.
CONCLUSION
Double-balloon enteroscopy may be used to treat patients with diaphragm disease, thus avoiding potentially complicated surgery.
背景
双气囊小肠镜检查是一项新技术，可对小肠全长进行内镜治疗。隔膜病以狭窄小肠腔的薄隔膜为特征，传统上通过节段性切除进行手术治疗。
目的
报告双气囊小肠镜检查成功治疗隔膜病的病例。
患者
3例患者。
设计
病例报告。
干预措施
双气囊小肠镜检查和狭窄球囊扩张术。
结果
我们首次报告了3例在双气囊小肠镜检查期间成功治疗隔膜狭窄的病例。2例患者在狭窄扩张后通过逆行方法取出了留存的胶囊内镜。
局限性
患者数量少且随访时间短。
结论
双气囊小肠镜检查可用于治疗隔膜病患者，从而避免潜在的复杂手术。
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