Wolfson Unit for Endoscopy, St Mark's Hospital and Academic Institute, Imperial College London (Northwick Park Campus), Watford Road, Harrow, London HA1 3UJ, UK.
Best Pract Res Clin Gastroenterol. 2012 Jun;26(3):279-91. doi: 10.1016/j.bpg.2012.01.019.
The last decade has witnessed a revolution in small bowel (SB) endoscopy technologies. Endoscopists are no longer confined to the use of push enteroscopy or the significantly more invasive intra-operative enteroscopy: SB capsule endoscopy (SBCE) and device assisted enteroscopy (DAE) have rapidly enabled endoscopic visualisation of the entire SB without the need for surgery. DAE goes a step further by allowing tissue sampling and the application of endotherapy. These developments have also been parallelled by rapid advances in dedicated radiological SB imaging technologies. Although it is clear that SBCE and DAE may have a significant role in the diagnosis and management of IBD patients, their respective place in relation to other technologies within the clinical paradigm of IBD is as yet unclear. This review outlines the current evidence base relating to these endoscopic technologies and their impact in the diagnosis and management of IBD and highlights current international recommendations.
过去十年见证了小肠（SB）内镜技术的革命。内镜医师不再局限于使用推进式内窥镜或更具侵袭性的术中内窥镜：SB 胶囊内镜（SBCE）和设备辅助内窥镜（DAE）已迅速实现了无需手术即可对整个 SB 进行内镜可视化。DAE 更进一步，可以进行组织取样和内镜治疗。这些发展也伴随着专用放射 SB 成像技术的快速进步。尽管 SBCE 和 DAE 在 IBD 患者的诊断和治疗中可能具有重要作用，但它们在 IBD 临床模式中与其他技术的相对位置尚不清楚。本综述概述了与这些内镜技术相关的当前证据基础及其对 IBD 的诊断和管理的影响，并强调了当前的国际建议。
