气囊辅助内镜在小肠疾病治疗中的应用进展

Application of balloonassisted endoscopy in treatment of small intestinal diseases

小肠由于其特殊的生理构造,一直以来被视为消化系内镜检查及治疗的盲区.近年,气囊辅助内镜(balloon-assisted endoscopy,BAE)的临床应用实现了对全小肠黏膜病变进行直接观察和镜下治疗,因而其大大促进了小肠疾病的诊疗水平.本文将辅以典型病例的方式简单介绍目前BAE在小肠疾病治疗中的应用进展,主要包括小肠息肉切除术、小肠狭窄扩张及支架置入术、小肠出血性疾病的BAE镜下治疗及BAE辅助下经内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)等.

For its special physiological structure,the small intestine had been regarded as an area inaccessible by digestive endoscopy for the detection and therapy.Recently,the clinical application of balloon-assisted endoscopy（BAE） help realize the direct observation and endoscopic therapy for the total small intestine,which greatly improves the diagnosis and treatment of small intestinal diseases.In the current editorial,we provide several typical cases and give an overview of the application of BAE in the therapy of small intestinal diseases,which includes polypectomy for small intestinal polyps,dilatation and stenting for small intestinal strictures,endoscopic therapy for small intestinal bleeding and BAE assisted endoscopic retrograde cholangiopancreatography（ERCP）.