Department of Surgery, Kanto Medical Center NTT EC, Higashi-Gotanda 5-9-22, Shinagawa-ku, Tokyo, Japan.
Surg Today. 2012 Jun;42(6):536-41. doi: 10.1007/s00595-011-0109-1. Epub 2011 Dec 27.
We evaluated a small group of patients with hemorrhagic lesions in the small intestine diagnosed preoperatively by video capsule endoscopy (VCE) and/or double-balloon endoscopy (DBE), who underwent surgery in our hospital.
The subjects were 20 patients with hemorrhagic lesions in the small intestine diagnosed preoperatively by VCE and/or DBE, who underwent surgery between April 2004 and December 2008.
VCE, DBE, and computed tomography were performed in 12, 17, and 20 patients, respectively. Eleven patients also had a biopsy taken during DBE, resulting in a definitive diagnosis in eight. Because of the risk of hemorrhage during DBE in five patients, a biopsy was not taken and the sites of the lesion were marked in these patients. Twenty patients underwent surgery, and the diagnoses were small-intestinal cancer in eight, gastrointestinal stromal tumor in seven, arteriovenous malformation in two, and Crohn's disease, angioectasia, and leiomyoma in one each. The interval between the onset of symptoms and surgery was less than 50 days for six patients, 50-100 days for two, 100-200 days for five, and more than 200 days for seven.
Preoperative small-bowel endoscopy proved useful for diagnosing the cause of hemorrhagic lesions in the small intestine.
我们评估了一组在我院接受手术的小肠出血性病变患者，这些患者术前通过胶囊内镜（VCE）和/或双气囊内镜（DBE）进行了诊断。
本研究对象为 2004 年 4 月至 2008 年 12 月期间因 VCE 和/或 DBE 术前诊断为小肠出血性病变而在我院接受手术的 20 例患者。
VCE、DBE 和计算机断层扫描分别在 12、17 和 20 例患者中进行。11 例患者还在 DBE 期间进行了活检，其中 8 例得到了明确诊断。由于 5 例患者在 DBE 期间存在出血风险，因此未进行活检，仅在这些患者的病变部位进行了标记。20 例患者接受了手术，诊断结果为小肠癌 8 例、胃肠道间质瘤 7 例、动静脉畸形 2 例、克罗恩病、血管扩张症和平滑肌瘤各 1 例。6 例患者的症状发作至手术的间隔时间小于 50 天，2 例为 50-100 天，5 例为 100-200 天，7 例大于 200 天。
术前小肠内镜检查对诊断小肠出血性病变的病因具有重要意义。
