Erasmus MC University Medical Center, Department of Gastroenterology and Hepatology, Rotterdam, The Netherlands.
Best Pract Res Clin Gastroenterol. 2012 Jun;26(3):209-20. doi: 10.1016/j.bpg.2012.03.007.
The small intestine has been difficult to examine by traditional endoscopic and radiologic techniques. Until the end of the last century, the small bowel follow through was the primary diagnostic tool for suspected small bowel disease. In recent years capsule endoscopy, deep enteroscopy using balloon-assisted or spiral techniques, computerized tomography and magnetic resonance enteroclysis or enterography have facilitated the diagnosis, monitoring, and management of patients with small bowel diseases. These technologies are complementary, each with its advantages and limitations. In the present article, we will discuss the different options and indications for modern diagnostic methods for visualization of the small bowel. We also try to provide a clinical rationale for the use of these different diagnostic options in less established, newly emerging, indications for small bowel evaluation.
小肠一直难以通过传统的内镜和放射技术进行检查。直到上个世纪末，小肠钡剂造影仍是疑似小肠疾病的主要诊断工具。近年来，胶囊内镜、气囊辅助或螺旋技术的深肠内镜检查、计算机断层扫描和磁共振肠造影或肠成像已经促进了小肠疾病患者的诊断、监测和管理。这些技术是互补的，每种技术都有其优点和局限性。在本文中，我们将讨论用于可视化小肠的现代诊断方法的不同选择和适应证。我们还尝试为这些不同的诊断选择在尚未确定的、新出现的小肠评估适应证中的使用提供临床依据。
