Mensink P B F, Kuipers E J
Erasmus MC-Centrum, afd. Maag-, Darm- en Leverziekten, 's-Gravendijkwal 230, 3015 CE Rotterdam.
Ned Tijdschr Geneeskd. 2007 Sep 22;151(38):2087-93.
Since the introduction of double-balloon enteroscopy (DBE), the small intestine has come into easy reach for endoscopy. By the 'push and pull' technique, the endoscope can be introduced far into the small intestine. Diagnostic endoscopy can be combined with endoscopic treatment in the small intestine, for example in patients with intestinal bleeding (angiodysplasia), polyps, tumours, or stenosis of the small intestine. DBE is especially important for patients with gastrointestinal blood loss that cannot be explained by the results of gastroscopy and colonoscopy. The added value of DBE in patients with other possible diseases of the small intestine, such as refractory coeliac disease or Crohn's disease, seems certain and is currently under investigation. In patients with Crohn's disease, endoscopic dilation of strictures may eliminate the need for surgical intervention. DBE can be performed on an outpatient basis. The complication rate of diagnostic DBE seems low, but in therapeutic sessions the complication rate is higher than for therapeutic colonoscopy.
自从双气囊小肠镜检查(DBE)问世以来,小肠已易于通过内镜检查触及。通过“推挽”技术,内镜可以深入小肠。诊断性内镜检查可与小肠内镜治疗相结合,例如用于患有肠道出血(血管发育异常)、息肉、肿瘤或小肠狭窄的患者。DBE对于因胃镜和结肠镜检查结果无法解释的胃肠道失血患者尤为重要。DBE在患有其他可能的小肠疾病(如难治性乳糜泻或克罗恩病)的患者中的附加价值似乎是肯定的,目前正在研究中。在克罗恩病患者中,内镜下扩张狭窄可能无需手术干预。DBE可以在门诊进行。诊断性DBE的并发症发生率似乎较低,但在治疗过程中,并发症发生率高于治疗性结肠镜检查。