单气囊小肠镜在儿童小肠疾病评估中的应用：一项大型三级中心研究。
Single balloon enteroscopy in children for evaluation of small bowel diseases in children: A large, tertiary center study.
机构信息
Consultant gastroenterologist, Asian institute of Gastroenterology, Hyderabad, India.
Consultant gastroenterologist, Asian institute of Gastroenterology, Hyderabad, India.
出版信息
J Pediatr Surg. 2021 Nov;56(11):2005-2009. doi: 10.1016/j.jpedsurg.2020.10.025. Epub 2020 Nov 2.
BACKGROUND AND AIM
Device assisted enteroscopy is the cornerstone for small bowel evaluation. However, the data are limited in pediatric patients. In this study, we aim to evaluate the safety and utility of single balloon enteroscopy (SBE) in children.
METHODS
The data of children (≤18-years) who underwent SBE from November 2010 to July 2020 was analyzed, retrospectively. The safety and diagnostic yield of SBE were assessed.
RESULTS
189-SBE procedures (males 117, mean age 15.1 ± 2.76, range 3-18 years) were performed in 174-children. The indications for SBE were chronic abdominal pain in 119 (68.4%), gastrointestinal bleed 17 (9.8%), chronic diarrhea 17 (9.8%) and vomiting 13 (7.5%). Antegrade, retrograde and combined SBE were performed in 98 (51.8%), 77 (40.7%), 7 (3.7%) children, respectively. The mean length of small bowel intubation in antegrade and retrograde SBE groups were 168.9 ± 58.6 cm and 120.7 ± 52.1 cm, respectively. Overall, a positive finding was seen in 117 (67.2%) cases. The most common findings were ileal and jejunal ulcers with or without strictures in 76 (64.9%) children. A total of 18 therapeutic enteroscopic procedures were performed. There were no major adverse events.
CONCLUSION
SBE is a safe and effective procedure for the evaluation and management of small bowel diseases in children.
背景与目的
设备辅助式小肠镜检查是小肠评估的基石。然而，儿科患者的数据有限。在本研究中，我们旨在评估单气囊小肠镜（SBE）在儿童中的安全性和实用性。
方法
回顾性分析 2010 年 11 月至 2020 年 7 月期间接受 SBE 的儿童（≤18 岁）的数据。评估了 SBE 的安全性和诊断效果。
结果
174 例儿童共进行了 189 例 SBE 检查（男性 117 例，平均年龄 15.1±2.76 岁，范围 3-18 岁）。SBE 的适应证为慢性腹痛 119 例（68.4%）、胃肠道出血 17 例（9.8%）、慢性腹泻 17 例（9.8%）和呕吐 13 例（7.5%）。分别对 98 例（51.8%）、77 例（40.7%）和 7 例（3.7%）儿童进行了顺行、逆行和联合 SBE。顺行和逆行 SBE 组小肠插管的平均长度分别为 168.9±58.6cm 和 120.7±52.1cm。总体而言，117 例（67.2%）患儿发现阳性结果。最常见的发现是回肠和空肠溃疡，伴有或不伴有狭窄。共进行了 18 项治疗性小肠镜检查。无重大不良事件。
结论
SBE 是一种安全有效的评估和治疗儿童小肠疾病的方法。
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