AW Morrow Gastroenterology and Liver Centre, Royal Prince Alfred Hospital, Camperdown, Sydney NSW 2050, Australia.
World J Gastroenterol. 2017 Dec 7;23(45):8073-8081. doi: 10.3748/wjg.v23.i45.8073.
To evaluate the therapeutic role of double-balloon enteroscopy (DBE) in small bowel strictures and to propose a standard approach to small bowel strictures.
Systematic review of studies involving DBE in patients with small bowel strictures. Only studies limited to small bowel strictures were included and those with ileo-colonic strictures were excluded.
In total 13 studies were included, in which 310 patients were dilated. The average follow-up time was 31.8 mo per patient. The complication rate was 4.8% per patient and 2.6% per dilatation. Surgery was avoided in 80% of patients. After the first dilatation, 46% were treated with re-dilatation and only 17% required surgery.
DBE-assisted dilatation avoids surgery in 80% of patients with small bowel strictures and is safe and effective. We propose a standardized approach to small bowel strictures.
评估双气囊小肠镜（DBE）在小肠狭窄中的治疗作用，并提出小肠狭窄的标准处理方法。
对涉及 DBE 治疗小肠狭窄的研究进行系统评价。仅纳入仅限于小肠狭窄的研究，并排除回结肠狭窄的研究。
共纳入 13 项研究，其中对 310 例患者进行了扩张。每位患者的平均随访时间为 31.8 个月。每位患者的并发症发生率为 4.8%，每次扩张的并发症发生率为 2.6%。80%的患者避免了手术。第一次扩张后，46%的患者接受了再扩张治疗，只有 17%的患者需要手术。
DBE 辅助扩张可使 80%的小肠狭窄患者避免手术，且安全有效。我们提出了一种小肠狭窄的标准化处理方法。
