Moreels Tom G
Division of Gastroenterology & Hepatology, Antwerp University Hospital, Belgium.
Ann Gastroenterol. 2012;25(1):14-20.
Endoscopic assessment of the small bowel is difficult because of its long and tortuous anatomy. However, recent developments have greatly improved the insertion depth and diagnostic yield, by means of device-assisted enteroscopy (DAE). Therefore, DAE may be of specific interest in the diagnostic and therapeutic approach of patients with inflammatory bowel disease. It may be of help in the diagnostic assessment of intestinal disease extent and severity and complications, with an impact on the therapeutic management. Moreover, local treatment within the small bowel is also feasible with DAE. This review aims to provide an overview of the currently available literature data on the use of enteroscopy in inflammatory bowel disease, and Crohn's disease in particular.
由于小肠解剖结构长且迂曲，对其进行内镜评估具有挑战性。然而，近年来借助器械辅助小肠镜检查（DAE），插入深度和诊断率都有了显著提高。因此，DAE在炎症性肠病患者的诊断和治疗中可能具有特殊意义。它有助于评估肠道疾病的范围、严重程度及并发症，从而影响治疗管理。此外，通过DAE在小肠内进行局部治疗也是可行的。这篇综述旨在概述目前关于小肠镜检查在炎症性肠病，尤其是克罗恩病中应用的文献数据。
