Tsuji Yuki, Maeda Kosaku, Ono Shigeru, Tazuke Yuko, Yanagisawa Satohiko, Usui Yoshiko, Baba Katsuhisa, Yano Tomonori, Yamamoto Hironori
Division of Pediatric Surgery, Department of Surgery, Jichi Medical University, School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi, Japan.
Pediatr Surg Int. 2013 Apr;29(4):357-61. doi: 10.1007/s00383-012-3245-9.
Double-balloon enteroscopy (DBE) is a useful and feasible modality for evaluating small intestinal lesions, even in children.
DBE makes it possible to perform biopsy, diagnosis, polypectomy and endoscopic therapies including hemostasis, tattooing and clipping of the small intestinal lesions. However, endoscopic procedures in the small intestines of children are more difficult than in adults, because the intestinal wall is thin and the lumen is narrow. A novel hybrid treatment was developed using DBE for small bowel lesions combined with transumbilical minimal incision surgery.
This hybrid treatment is safe, effective, provides excellent cosmetic results and can be used as an alternative for traditional open laparotomy or endoscopic surgery.
双气囊小肠镜检查（DBE）是评估小肠病变的一种有用且可行的方法，即使在儿童中也是如此。
DBE使对小肠病变进行活检、诊断、息肉切除术以及包括止血、纹身和夹闭在内的内镜治疗成为可能。然而，儿童小肠的内镜操作比成人更困难，因为肠壁薄且管腔狭窄。一种使用DBE联合经脐微小切口手术治疗小肠病变的新型混合治疗方法被开发出来。
这种混合治疗是安全、有效的，具有出色的美容效果，可作为传统开放剖腹手术或内镜手术的替代方法。
