Paine Elizabeth, Shen Bo
Division of Digestive Diseases, University of Mississippi Medical Center, Jackson, Mississippi, USA.
Department of Gastroenterology/Hepatology, the Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Gastrointest Endosc. 2013 Dec;78(6):819-835. doi: 10.1016/j.gie.2013.08.023. Epub 2013 Oct 15.
Endoscopic therapies are important modalities in the treatment of IBD, adjunct to medical and surgical approaches. These therapeutic techniques are particularly useful in the management of IBD-associated or IBD surgery–associated strictures, fistulas, and sinuses and colitis-associated neoplasia. Although the main focus of endoscopic therapies in IBD has been on balloon stricture dilation and ablation of adenoma-like lesions, new endoscopic approaches are emerging, including needle-knife stricturotomy, needle-knife sinusotomy, endoscopic stent placement, and fistula tract injection. Risk management of endoscopy-associated adverse events is also evolving. The application of endoscopic techniques in novel ways in the treatment of IBD is just beginning and will likely expand rapidly in the near future.
内镜治疗是炎症性肠病（IBD）治疗中的重要方式，是药物和手术治疗方法的辅助手段。这些治疗技术在IBD相关或IBD手术相关的狭窄、瘘管、窦道以及结肠炎相关肿瘤的管理中特别有用。尽管IBD内镜治疗的主要重点一直是球囊狭窄扩张和腺瘤样病变的切除，但新的内镜治疗方法正在出现，包括针刀狭窄切开术、针刀窦道切开术、内镜支架置入和瘘管注射。内镜相关不良事件的风险管理也在不断发展。内镜技术以新的方式应用于IBD治疗才刚刚开始，并且在不久的将来可能会迅速扩展。
