Department of Pediatrics, Pediatric Gastroenterology and Liver Unit, Sapienza University of Rome, Italy.
Dig Liver Dis. 2013 May;45(5):351-5. doi: 10.1016/j.dld.2012.07.020. Epub 2012 Sep 1.
Small bowel evaluation is crucial in children with suspected inflammatory bowel disease to differentiate Crohn's disease from other enteropathies, in making therapeutic decisions and planning the follow-up. Endoscopic investigation of small bowel has historically been difficult due to the length and tortuosity of the organ itself. New technology, introduced over the past decade, allows minimally invasive and detailed endoscopic evaluation of the entire small bowel mucosa. While understudied in the paediatric population, literature is emerging supporting the use of these techniques in children. In this review we will provide an overview on the currently available technology, on its feasibility in paediatric age and on the available literature concerning the use of enteroscopy in paediatric Crohn's disease.
小肠评估对于疑似炎症性肠病的儿童至关重要，有助于区分克罗恩病与其他肠病，从而做出治疗决策和规划随访。由于小肠本身的长度和迂曲，历史上对小肠的内镜检查一直很困难。过去十年中引入的新技术可微创且详细地评估整个小肠黏膜。虽然在儿科人群中研究较少，但越来越多的文献支持这些技术在儿童中的应用。在这篇综述中，我们将概述目前可用的技术，以及其在儿科年龄的可行性，以及有关在儿童克罗恩病中使用小肠镜的现有文献。
