气囊辅助小肠镜在小肠疾病治疗中的应用

Application of balloon-assisted enteroscopy in treatment of small intestinal diseases

本述评以气囊辅助小肠镜在小肠疾病治疗中的应用为主要内容,重点阐述气囊辅助小肠镜在小肠出血、小肠良性狭窄、小肠良性肿瘤、恶性小肠梗阻、小肠异物滞留五个方面的应用,分别涉及到小肠镜下硬化注射、氩离子凝固术、金属夹夹闭;小肠镜下球囊扩张、狭窄切开;小肠镜下黏膜切除术、小肠镜下黏膜下剥离术、小肠镜下全层切除术;小肠镜下自膨式金属支架置入术以及小肠镜下异物取出术等多项小肠镜治疗技术.

This review focuses on the application of balloon-assisted enteroscopy in the treatment of small bowel diseases which mainly include small bowel bleeding,benign small bowel stenosis,benign small bowel tumors,malignant small bowel obstruction,and foreign body retention in the small intestine.The operations involved in the treatments for those diseases include enteroscopic sclerotherapy injection,argon plasma coagulation,and endoscopic clip ligation;endoscopic balloon dilation and endoscopic stricturotomy;endoscopic mucosal resection,endoscopic submucosal dissection,and endoscopic full-thickness resection;and self-expanding metal stent placement and small intestinal foreign body retrieval,respectively.