Spiral enteroscopy in diagnosis and managements of small bowel diseases
10.3760/cma.j.issn.1007-5232.2010.01.003
- VernacularTitle:螺旋管式小肠镜临床应用价值初探
- Author:
Xiaobo LI
;
Yan SONG
;
Jun DAI
;
Yunjie GAO
;
Zhizheng GE
- Publication Type:Journal Article
- Keywords:
Endosoopes;
Spiral enteroscopy;
Small-bowel disease
- From:
Chinese Journal of Digestive Endoscopy
2010;27(1):9-11
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the use of spiral enteroscopy in diagnosis and treatment of smallbowel diseases.Methods The data of 8 patients who underwent spiral enteroscopy from July to September 2009 were retrospectively studied.The variables including maximal insertion depth,total procedure time,complications,and outcome were evaluated.Results The average maximal depth of intubation was 2.2 m beyond the Ligament of Triez (0-3.6 m beyond Ligament of Triez),with a mean procedure time at 41 min (25 to 77 min).Small bowel Crohn's disease was diagnosed in 2 cases with biopsy suggesting active inflammation and granular formation.Small intestinal tumor was detected in 1 patient with pathological finding of high grade dysplasia.Jejunal ulcer was detected in 1 patient.Multiple polyps were found in 1 patient after jejunal anastomosis,which were then treated with endoscopic argon plasma coagulation (APC).No abnormalities were found in 3 other patients.No complications occurred during and after the procedure.The maneuver of spiral enteroscopy and APC were same as that of balloon enteroscopy.Conclusion Spiral enteroscopy is simple and convenient to operate,which is of great potential in clinical use.