Kopylov Uri, Carter Dan, Eliakim Abraham Rami
Department of Gastroenterology, Sheba Medical Center, Tel Hashomer 5265601, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv 6910302, Israel.
Department of Gastroenterology, Sheba Medical Center, Tel Hashomer 5265601, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv 6910302, Israel.
Gastrointest Endosc Clin N Am. 2016 Oct;26(4):611-27. doi: 10.1016/j.giec.2016.06.007.
In approximately one-third of Crohn's disease patients, the disease is confined to the small bowel, inaccessible to the reach of standard endoscopy. Thorough and complete evaluation of the small bowel is crucial in such patients for the initial diagnosis, prognostication, and disease monitoring. Video capsule endoscopy and device-assisted enteroscopy have revolutionized the ability to visualize the small-bowel mucosa. This article reviews the literature pertaining to the use of capsule endoscopy and deep enteroscopy in established Crohn's disease, including the major indications, applications, and safety issues.
在大约三分之一的克罗恩病患者中，疾病局限于小肠，标准内镜检查无法触及。对于这些患者，全面彻底地评估小肠对于初始诊断、预后判断和疾病监测至关重要。视频胶囊内镜和器械辅助小肠镜检查彻底改变了可视化小肠黏膜的能力。本文综述了关于胶囊内镜和深部小肠镜在确诊的克罗恩病中的应用的文献，包括主要适应证、应用情况及安全问题。
