Tennyson Christina A, Lewis Blair S
Division of Gastroenterology, Mount Sinai School of Medicine, New York, NY 10128, USA.
Gastrointest Endosc Clin N Am. 2009 Jul;19(3):315-24. doi: 10.1016/j.giec.2009.04.005.
Although the small intestine has long been considered the final frontier of endoscopy, a vast amount of progress has led to increased diagnostic and therapeutic capabilities. With the increasing prevalence of capsule endoscopy, the need for enteroscopy also continues to increase. The endoscopic options currently available include double and single balloon-assisted enteroscopy, spiral enteroscopy, and lastly, intraoperative enteroscopy. The majority of published literature has focused on double balloon enteroscopy, but further studies have to provide information on the safety and yield of the newer techniques. Although intraoperative enteroscopy may be practiced less frequently, it has a role in the management of lesions that may not be approachable by other endoscopic means and a role in the guidance of surgical management.
尽管小肠长期以来一直被视为内镜检查的最后一个前沿领域，但大量的进展已带来了诊断和治疗能力的提升。随着胶囊内镜的日益普及，小肠镜检查的需求也持续增加。目前可用的内镜检查选项包括双气囊和单气囊辅助小肠镜检查、螺旋小肠镜检查，以及最后提到的术中小肠镜检查。大多数已发表的文献都集中在双气囊小肠镜检查上，但还需要进一步研究以提供有关这些新技术的安全性和检出率的信息。尽管术中小肠镜检查的应用可能较少，但它在处理其他内镜手段无法触及的病变方面发挥着作用，并且在手术管理的指导方面也发挥着作用。
