Double-Balloon Enteroscopy: One Year Experience

雙氣囊型小腸鏡術：一年經驗

蘇維文(Wei-Wen Su) ； 顏旭亨(Hsu-Heng Yen) ； 陳洋源(Yang-Yuan Cheng) ； 徐友春(Yu-Chung Hsu) ； 孫茂勝(Maw-Soan Soon)

《臺灣消化醫學雜誌》 22卷4期 (2005/12) Pp. 310-315

https://doi.org/10.6557/GJT.200512_22(4).0001

摘要

背景及目的：雙氣囊型小腸鏡可以對全小腸各種不同的疾病做一檢查，之前報告，大多由日本同一醫院的報告，因此，本研究利用此內視鏡對小腸病變做一檢查。
方法：從2004年4月至2005年4月，我們對10個人做了11次小腸鏡，我們以病歷回顧法來探討其適應症、小腸鏡的發現、結果及其併發症。
結果：3個病人因小腸急性出血，5個病人因慢性出血，及2個病人因X-光呈現局部不正常，來做小腸鏡檢查，8個出血病人中有7個找到出血點，1個因小腸局部病變經由切片檢查呈現嗜曙紅性小腸炎，另一例為正常，10個病人檢查並無併發症。
結論：由我們初步經驗，對於小腸出血，雙氣囊型小腸鏡檢查可以提供一個安全、有效及高正確率的診斷方法。雙氣囊型小腸鏡對小腸的病變提供一個未來的遠景。

關鍵字

小腸鏡 ； 雙氣囊型小腸鏡術 ； 不明出血源之胃腸出血

並列摘要

Background and Purpose: The new method of double-balloon enteroscopy allowed a potentially full-length examination of the gastrointestinal (GI) tract for patients with various diseases of the small intestine. Previous clinical experience was limited to one group in Japan. The aim of this study was to evaluate the usefulness of this endoscopic system for disorders of the small intestine. Methods: From April 2004 to April 2005, 10 patients received a total of 11 enteroscopies in our institution. Medical records were retrospectively reviewed for indications, endoscopic findings, outcomes and complications associated with the procedure. Results: Three patients were evaluated for acute small intestinal bleeding, five for chronic obscure bleeding and two for radiologically suspected segmental small bowel disorders. The source of the bleeding was identified in seven (87.5%) of eight patients with GI bleeding. One patient, evaluated for segmental small intestinal wall thickening, was diagnosed as having eosinophilic enteritis via endoscopic biopsy, while another had negative endoscopic finding. No serious complications occurred among the 10 patients. Conclusions: From our initial experience, double-balloon enteroscopy is safe and useful, and provides high diagnostic yields among patients with small intestinal bleeding. Enteroscopy with the double-balloon method seems to have a promising future and more studies are necessary to establish its role in diagnosis and therapy of small intestinal disorders.

並列關鍵字

enteroscopy ； double-balloon enteroscopy ； obscure gastrointestinal bleeding