Ching Hey-Long, McAlindon Mark E, Sidhu Reena
Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals, Sheffield, UK.
Curr Opin Gastroenterol. 2017 May;33(3):181-188. doi: 10.1097/MOG.0000000000000346.
The breakthrough success of capsule endoscopy and device-assisted enteroscopy has inspired researchers to test and push the boundary of these technologies. The authors herein summarize the latest and most significant studies with clinical impact.
Competing capsule endoscopy models have enriched the platform of this wireless device. The role of capsule endoscopy in Crohn's disease is expanding as we learn more of the significance of disease distribution and response to treatment. The benefit of capsule endoscopy in abdominal pain has previously been sceptical, but may have a role. Device-assisted enteroscopy demonstrates significant benefit in the management of patients with Crohn's disease and Peutz-Jeghers syndrome. On the contrary, long-term data suggest that endotherapy to small bowel angioectasia may not be as beneficial to patients as we once thought. The role of device-assisted enteroscopy in novel territory, including coeliac disease and endoscopic retrograde cholangiopancreatography, continues to be tested.
The limit of capsule endoscopy and enteroscopy is yet to be reached. Accumulating long-term data alludes to the benefits of our current practice while spawning novel indications for small bowel endoscopy.
胶囊内镜和器械辅助小肠镜检查取得的突破性成功激发了研究人员对这些技术进行测试并拓展其边界。本文作者总结了具有临床意义的最新且最重要的研究。
相互竞争的胶囊内镜模型丰富了这种无线设备的平台。随着我们对克罗恩病疾病分布及治疗反应的重要性有了更多了解，胶囊内镜在克罗恩病中的作用正在扩大。胶囊内镜在腹痛方面的益处此前一直受到质疑，但可能发挥一定作用。器械辅助小肠镜检查在克罗恩病和黑斑息肉综合征患者的管理中显示出显著益处。相反，长期数据表明，对小肠血管扩张症进行内镜治疗对患者的益处可能并不像我们曾经认为的那样大。器械辅助小肠镜检查在包括乳糜泻和内镜逆行胰胆管造影等新领域的作用仍在不断探索中。
胶囊内镜和小肠镜检查的极限尚未达到。不断积累的长期数据表明了我们当前做法的益处，同时也催生了小肠内镜检查的新适应症。
