双气囊电子小肠镜对小肠疾病的诊断价值及治疗效果

The Value of Double-balloon Enteroscopy in Diagnosis and Treatment of Small bowel diseases

目的评价双气囊电子小肠镜在小肠疾病诊断、治疗及制定下一步诊疗计划方面的价值。方法 2003年7月至2008年7月临床考虑小肠疾病患者147例进行双气囊电子小肠镜检查,经口进镜54例,经肛进镜22例,双侧进镜71例。24例1患者行小肠镜下治疗,57例患者经小肠镜诊断明确后行药物或外科手术治疗。结果双气囊电子小肠镜的总检出率为78.2%,前两位病因分别为克罗恩病(17.4%)和小肠间质瘤(15.7%)。24例患者进行了27次小肠镜下治疗,包括息肉切除7次,所有息肉切除成功;止血治疗20次,18例止血成功,2例止血失败。无穿孔、出血等严重并发症。结论双气囊电子小肠镜对小肠疾病检出率高,镜下治疗安全有效,有利于制定下一步诊疗计划。

Objective To evaluate the value of double-balloon enteroscopy in diagnosising and treating intestinal disease. Methods From July 2003 to July 2008,147 patients with suspected small bowel disease were enrolled in this study.24 Patients were given endoscopic therapy.Results The overall diagnostic yield for double-balloon enteroscopy was 78.2%.The first two causes were Crohn s disease and small bowel stromal tumor.A total of 27 therapeutic procedures was carried out.The endoscopic treatments included polypectomies(n=7) and hemostasis(n=20).All polyps were cut off.18 procedures of haemostasis were performed successfully.No severe complication occurred in all cases.Conclusion Double-balloon enteroscopy permits the exploration for small intestine with high diagnostic rate and refer to the next treatment.The therapeutic procedure under endoscopy is safe and useful.