气囊辅助式小肠镜对小肠疾病诊疗分析

Analysis of balloon assisted enteroscopy in the diagnosis and treatment of small bowel diseases

目的 探讨气囊辅助式小肠镜(以下简称“小肠镜”)在小肠疾病诊疗中的有效性及安全性。方法 回顾性分析2005年11月至2019年10月在南昌大学第一附属医院接受小肠镜诊疗患者的临床、内镜及病理资料。结果 最常见的小肠镜阳性诊断为非特异性肠炎(14.4%)、克罗恩病(9.9%)和小肠肿瘤(8.6%)。非特异性肠炎、克罗恩病、梅克尔憩室的检出率男性高于女性,血管畸形的检出率女性高于男性;克罗恩病、梅克尔憩室检出率青年患者较高,小肠肿瘤、血管畸形检出率老年患者较高;接受小肠镜检查的患者最常见临床表现是腹痛(42.0%)和不明原因消化道出血(OGIB)(32.9%),OGIB患者的小肠疾病检出率显著高于腹痛患者(67.6%比36.7%,P<0.001)。小肠镜诊疗操作并发症发生率为0.6%。结论 气囊辅助式小肠镜是一种有效且安全的小肠疾病诊疗方法。

Objective To evaluate the efficacy and safety of balloon assisted enteroscopy(BAE)in the diagnosis and treatment of small bowel diseases.Methods The clinical data of patients who underwent BAE in the First Affiliated Hospital of Nanchang University from November 2005 to October 2019 were retrospectively analyzed,including clinical,endoscopic and pathological information.Results The most common positive enteroscopic diagnoses were non-specific enteritis,Crohn's disease and small intestinal tumors.The detection rates of non-specific enteritis,Crohn's disease and Meckel's diverticulum in male patients were higher than those in female patients,while the detection rates of vascular malformation in female patients were higher than those in male patients.The detection rates of Crohn's disease and Meckel's diverticulum were higher in young patients,while the detection rates of small intestinal tumor,vascular malformation were higher in elderly patients.The most common clinical manifestations of patients who underwent BAE were abdominal pain and obscure gastrointestinal bleeding(OGIB).The detection rate of small intestinal diseases in OGIB patients was significantly higher than that in abdominal pain patients.Endoscopy-related complications occurred in only 0.6% of all BAE procedures.Conclusion BAE is an effective and safe method for the diagnosis and treatment of small bowel diseases.