Department of Medicine, Keck School of Medicine, The University of Southern California, Los Angeles, CA, USA.
Surg Endosc. 2013 Feb;27(2):671-8. doi: 10.1007/s00464-012-2485-z. Epub 2012 Aug 28.
Spiral enteroscopy is rapidly emerging, along with double- and single-balloon enteroscopy, as a paramount method to evaluate lesions in the deep small bowel. While the latter two methods have been used to manage patients with surgically altered anatomy, there are few reports on the role of spiral enteroscopy in this group. Our principal aim was to characterize the therapeutic uses of spiral enteroscopy in patients with surgically altered anatomy.
Patients with surgically altered anatomy who failed management with conventional endoscopic methods for therapeutic indications were included in this prospective series at our tertiary referral center. The spiral technique was used to control variceal bleeding, dilate enteral anastomotic narrowing, and perform pancreaticobiliary interventions in seven patients. The cases were performed quickly and effectively and the need for surgery was obviated in all cases.
The spiral enteroscopy system has significant therapeutic potential in patients with surgically altered anatomy.
螺旋内镜与双气囊和单气囊内镜一起，迅速成为评估深部小肠病变的主要方法。虽然后两种方法已被用于治疗解剖结构改变的患者，但关于螺旋内镜在这组患者中的作用的报道很少。我们的主要目的是描述螺旋内镜在解剖结构改变的患者中的治疗用途。
本研究为在我们的三级转诊中心进行的一项前瞻性系列研究，纳入了因治疗指征而接受常规内镜方法治疗失败的解剖结构改变患者。螺旋技术用于控制静脉曲张出血、扩张肠吻合狭窄和进行胰胆介入治疗的七例患者。所有病例均快速有效地完成，且避免了手术需求。
螺旋内镜系统在解剖结构改变的患者中具有显著的治疗潜力。
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