Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Endoscopy. 2013;45(1):67-70. doi: 10.1055/s-0032-1325867. Epub 2012 Dec 3.
The aims of this study were to compare the detection rates of gastrointestinal follicular lymphoma lesions by video capsule endoscopy (VCE) and double-balloon endoscopy (DBE), and to determine the pathologic diagnostic yields of DBE-directed biopsies. A total of 27 consecutive patients were enrolled. No significant difference in detection rates was observed in 12 patients who underwent total enteroscopy at both VCE and DBE. Pathologic diagnostic yields stratified by location were 91 % in the proximal duodenum at esophagogastroduodenoscopy, 88 % in the jejunum at antegrade DBE, 52 % in the ileum at retrograde DBE, and 57 % in the terminal ileum at colonoscopy. VCE and DBE were helpful in determining treatment in 44 % of patients.
本研究旨在比较视频胶囊内镜（VCE）和双气囊内镜（DBE）对胃肠道滤泡性淋巴瘤病变的检出率，并确定 DBE 引导下活检的病理诊断率。共纳入 27 例连续患者。在同时进行 VCE 和 DBE 全小肠检查的 12 例患者中，检出率无显著差异。按部位分层的病理诊断率分别为食管胃十二指肠镜检查时近端十二指肠 91%、顺行 DBE 时空肠 88%、逆行 DBE 时回肠 52%、结肠镜检查时末端回肠 57%。VCE 和 DBE 有助于确定 44%患者的治疗方案。
