Aparato Digestivo, Hospital General Universitario Morales Meseguer, España.
Hepato-Gastro-Enterología y Endoscopia digestiva, Hospital Europeo Georges Pompidou, Francia.
Rev Esp Enferm Dig. 2020 Apr;112(4):273-277. doi: 10.17235/reed.2020.6971/2020.
Standard therapy using device-assisted enteroscopy includes different hemostatic therapies, polypectomy, dilation and other possibilities. The most frequent indication is small bowel bleeding. However, other specific settings could require dedicated therapies such as desinvagination, percutaneous enteroscopic jejunostomy, stent placement, endoscopic mucosal resection in polypoid vascular lesions and foreign body extraction. The present review aimed to investigate and describe device-assisted advanced therapies in the small bowel, excluding conventional hemostatic therapies of vascular lesions.
采用设备辅助式小肠镜的标准治疗包括不同的止血治疗、息肉切除术、扩张术和其他可能性。最常见的适应证是小肠出血。然而,其他特定情况可能需要专门的治疗方法,如解脱、经皮内镜空肠造口术、支架放置、息肉样血管病变的内镜黏膜切除术和异物取出。本综述旨在调查和描述小肠的设备辅助高级治疗方法,不包括血管病变的常规止血治疗。