双气囊小肠镜诊断不明原因消化道出血

Diagnosis of obscure gastrointestinal bleeding with double balloon endoscopy

目的:评估双气囊小肠镜对不明原因消化道出血(OGIB)的诊断价值。方法:在麻醉辅助下对96例OGIB患者施行双气囊小肠镜检查。结果:小肠溃疡27例,非特异性炎症11例,钩虫病8例,息肉病7例,血管畸形7例,憩室病5例(其中美克尔憩室3例),克罗恩病6例,间质瘤4例,高分化腺癌3例,十二指肠溃疡2例,蛔虫1例。结论:双气囊小肠镜是诊断OGIB的一种有效、安全的检查手段。

Objective：To evaluate the effectiveness of double balloon endoscopy in the diagnosis of obscure gastrointestinal bleeding. Methods：From October 2005 to March 2008, a total of 96 patients （64 men, 32 women ;mean age of 49.6 years,range 15-78 years） with obscure gastrointestinal bleeding were performed double balloon endoscopy （38 via mouth,28 via anus and 30 via both mouth and anus）. Results：Bleeding lesions were identified in 81 of 96 patients,with a positive rate of 84.4%.SmaU intestine ulcer were found in 27 cases,nonspecific inflammation llcases,ancylostomiasis 8 cases,polyps 7 cases,vascular deformity 7 cases,diverticulosis 5 cases （Michael diverticulosis 3 cases）,Crohn＇s disease 6 cases,entero-mesenchymoma 4 cases,high differentiated adenocarcinoma 3 cases, duodenal ulcer 2 cases,ascariasis 1 case. No serious complications occurred.Conclusion：Double balloon endoscopy is an effective and safe method in the diagnosis of obscure gastrointestinal bleeding.