Akyuz Umit, Akyuz Filiz
Department of Gastroenterology, Fatih Sultan Mehmet Educational and Research Center, Istanbul, Turkey.
Department of Gastroenterology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
Clin Endosc. 2016 Mar;49(2):157-60. doi: 10.5946/ce.2015.036. Epub 2016 Mar 7.
Advances in technology have facilitated the common use of small-bowel imaging. Intraoperative enteroscopy was the gold standard method for small-bowel imaging. However, noninvasive capsule endoscopy and invasive balloon enteroscopy are currently the main endoscopic procedures that are routinely used for small-bowel pathologies, and the indications for both techniques are similar. Although obstruction is a contraindication for capsule endoscopy, it is not considered to be problematic for double-balloon enteroscopy. The most important advantage of double-balloon enteroscopy is the applicability of therapeutic interventions during the procedure; however, double-balloon enteroscopy has certain advantages as well as disadvantages.
技术进步推动了小肠成像的广泛应用。术中肠镜检查曾是小肠成像的金标准方法。然而,无创胶囊内镜检查和有创气囊小肠镜检查目前是常用于小肠病变的主要内镜检查方法,且两种技术的适应证相似。虽然肠梗阻是胶囊内镜检查的禁忌证,但对双气囊小肠镜检查而言并非问题。双气囊小肠镜检查最重要的优势在于术中可进行治疗干预;然而,双气囊小肠镜检查有其优点也有缺点。