Gerson Lauren B
Division of Gastroenterology & Hepatology, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305-5202, USA.
Gastrointest Endosc Clin N Am. 2009 Jul;19(3):481-96. doi: 10.1016/j.giec.2009.04.007.
The purpose of this article is to describe the available data regarding the short- and long-term outcomes associated with deep enteroscopy. Deep enteroscopy can be defined as the use of an enteroscope to examine small bowel distal to the ligament of Treitz or proximal to the distal ileum. The term deep enteroscopy includes double-balloon, single-balloon, and spiral enteroscopy. Comparisons are made with push enteroscopy and intraoperative enteroscopy, the major therapeutic endoscopic options available to the gastroenterologist before the introduction of deep enteroscopy. The article concludes with a discussion regarding complications associated with deep enteroscopy and cost-effectiveness of management strategies for obscure bleeding. Proposed changes to the current algorithm for management of obscure bleeding are suggested.
本文的目的是描述与深度小肠镜检查相关的短期和长期结果的现有数据。深度小肠镜检查可定义为使用小肠镜检查屈氏韧带远端或回肠末端近端的小肠。深度小肠镜检查一词包括双气囊、单气囊和螺旋小肠镜检查。文中将其与推进式小肠镜检查和术中小肠镜检查进行了比较，这两种检查是在深度小肠镜检查出现之前胃肠病学家可用的主要治疗性内镜检查方法。本文最后讨论了深度小肠镜检查相关的并发症以及不明原因出血管理策略的成本效益。文中还提出了对当前不明原因出血管理算法的建议性更改。
