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小肠息肉和肿瘤:双气囊小肠镜的内镜检测和治疗。

Small bowel polyps and tumours: endoscopic detection and treatment by double-balloon enteroscopy.

机构信息

Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University, Magdeburg, Germany.

出版信息

Aliment Pharmacol Ther. 2009 Jan;29(1):135-42. doi: 10.1111/j.1365-2036.2008.03864.x. Epub 2008 Oct 3.

DOI:10.1111/j.1365-2036.2008.03864.x
PMID:18945259
Abstract

BACKGROUND

Double-balloon enteroscopy has allowed us not only to inspect deeply the small bowel but also to carry out interventions for diseases of the small bowel.

AIM

To evaluate the utility of double-balloon enteroscopy for the diagnosis and therapy of these lesions.

METHODS

All patients undergoing double-balloon enteroscopy for evaluation of small bowel polyps and tumours during a 3.75-year period at a university referral hospital were studied. The types of polyps and tumours as well as endoscopic technique of removal, surgery and complications were documented.

RESULTS

The incidence of small bowel polyps and tumours in-patients undergoing DBE was 9.6%. A total of 40 double-balloon enteroscopy procedures were performed in 29 patients [13 female (44.8%), mean age 51 years, range 22-74]. The following lesions were found most frequently: adenomas in familial adenomatous polyposis syndrome, n = 8; hamartomas, n = 4 (Peutz-Jeghers and Cronkhite Canada syndromes), jejunal adenocarcinoma n = 5, neuroendocrine tumour n = 4 and others n = 6.

CONCLUSIONS

The incidence of small bowel tumours in those in-patients who were undergoing double-balloon enteroscopy was 10%. Double-balloon enteroscopy is useful for the diagnosis and treatment of small bowel polyps and tumours.

摘要

背景

双气囊小肠镜不仅使我们能够深入检查小肠,还可以对小肠疾病进行干预。

目的

评估双气囊小肠镜在这些病变的诊断和治疗中的应用价值。

方法

在一家大学附属医院,对 3.75 年内因小肠息肉和肿瘤接受双气囊小肠镜检查的所有患者进行了研究。记录了息肉和肿瘤的类型以及内镜切除、手术和并发症的技术。

结果

在接受 DBE 的住院患者中,小肠息肉和肿瘤的发生率为 9.6%。在 29 名患者中总共进行了 40 次双气囊小肠镜检查[13 名女性(44.8%),平均年龄 51 岁,范围 22-74 岁]。最常见的病变是家族性腺瘤性息肉病中的腺瘤,n = 8;错构瘤,n = 4(Peutz-Jeghers 和 Cronkhite Canada 综合征),空肠腺癌 n = 5,神经内分泌肿瘤 n = 4 及其他 n = 6。

结论

在接受双气囊小肠镜检查的住院患者中,小肠肿瘤的发生率为 10%。双气囊小肠镜对小肠息肉和肿瘤的诊断和治疗有用。

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