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儿童双气囊小肠镜检查:一系列病例凸显风险及文献综述

Double balloon enteroscopy in children: a case series highlighting risks, and a review of the literature.

作者信息

Jensen Melissa, Mysore Krupa, El-Abiad Rami, Rahhal Riad

机构信息

Division of Pediatric Gastroenterology, University of Iowa Children's Hospital, Iowa City, Iowa, USA.

Department of Pediatrics, University of Iowa Children's Hospital, Iowa City, Iowa, USA.

出版信息

Frontline Gastroenterol. 2013 Jan;4(1):82-86. doi: 10.1136/flgastro-2012-100229. Epub 2012 Nov 7.

DOI:10.1136/flgastro-2012-100229
PMID:28839704
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5369781/
Abstract

AIM

Double balloon enteroscopy (DBE) is a relatively new endoscopic technique that allows endoscopic access into the small intestine. It has been studied in adults, but the literature remains scarce in the paediatric age group.

METHODS

We retrospectively assessed our experience with DBE in children.

RESULTS

We describe four procedures performed on three patients. The diagnostic yield was high (100%) with one major complication (perforation) encountered. A review of the benefits and risks in this cohort, and the available literature is included.

CONCLUSIONS

DBE is a promising endoscopic modality in children, but some aspects remain unanswered. There is a great need for a prospective study to better assess benefit and risk in this population.

摘要

目的

双气囊小肠镜检查(DBE)是一种相对较新的内镜技术,可实现内镜进入小肠。该技术已在成人中开展研究,但在儿科年龄组中的文献仍然很少。

方法

我们回顾性评估了我们在儿童中进行DBE的经验。

结果

我们描述了对三名患者进行的四次操作。诊断率很高(100%),但遇到了一例主要并发症(穿孔)。本文还对该队列中的益处和风险以及现有文献进行了综述。

结论

DBE是一种在儿童中很有前景的内镜检查方式,但有些方面仍未得到解答。迫切需要进行前瞻性研究,以更好地评估该人群中的益处和风险。

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本文引用的文献

1
Double-balloon enteroscopy: pediatric experience.双气囊小肠镜检查:儿科经验。
J Pediatr Gastroenterol Nutr. 2010 Oct;51(4):429-32. doi: 10.1097/MPG.0b013e3181d2979c.
2
Double balloon enteroscopy in children: diagnosis, treatment, and safety.双气囊小肠镜在儿童中的应用:诊断、治疗和安全性。
World J Gastroenterol. 2010 Jan 7;16(1):56-62. doi: 10.3748/wjg.v16.i1.56.
3
Safety and efficacy of double-balloon enteroscopy in pediatric patients.双气囊小肠镜在儿科患者中的安全性和有效性。
Gastrointest Endosc. 2010 Feb;71(2):287-94. doi: 10.1016/j.gie.2009.08.010. Epub 2009 Nov 14.
4
The diagnostic value of double-balloon enteroscopy in children with small bowel disease: report of 31 cases.双气囊小肠镜在小儿小肠疾病中的诊断价值:附31例报告
Can J Gastroenterol. 2009 Sep;23(9):635-8. doi: 10.1155/2009/281040.
5
Pediatric endoscopic injuries: incidence, management, and outcomes.小儿内镜损伤:发病率、处理及结局
J Pediatr Surg. 2008 May;43(5):911-5. doi: 10.1016/j.jpedsurg.2007.12.036.
6
Double balloon endoscopy in pediatric patients.儿科患者的双气囊内镜检查
Gastrointest Endosc. 2007 Sep;66(3 Suppl):S54-6. doi: 10.1016/j.gie.2007.03.1046.
7
Small-bowel perforation after endoscopic resection of a Peutz-Jeghers polyp in an infant using double-balloon enteroscopy.婴儿使用双气囊小肠镜对黑斑息肉病息肉进行内镜切除术后发生小肠穿孔。
Endoscopy. 2007 Feb;39 Suppl 1:E217. doi: 10.1055/s-2007-966411. Epub 2007 Jul 5.
8
Complications of double balloon enteroscopy: a multicenter survey.双气囊小肠镜检查的并发症:一项多中心调查。
Endoscopy. 2007 Jul;39(7):613-5. doi: 10.1055/s-2007-966444. Epub 2007 May 21.
9
Endoscopic interventions in the small bowel using double balloon enteroscopy: feasibility and limitations.使用双气囊小肠镜对小肠进行内镜干预:可行性与局限性
Am J Gastroenterol. 2007 Mar;102(3):527-35. doi: 10.1111/j.1572-0241.2007.01063.x.
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