Effects of balloon-assisted enteroscopy for benign stenosis in deep small intestine (with video)
10.3760/cma.j.cn321463-20200511-00237
- VernacularTitle:经气囊辅助小肠镜治疗深部小肠良性狭窄的疗效初探(含视频)
- Author:
Xiaotan DOU
;
Hui DUAN
;
Yiyang ZHANG
;
Min CHEN
;
Xiaoqi ZHANG
;
Chenggong YU
;
Xiaoping ZOU
- From:
Chinese Journal of Digestive Endoscopy
2021;38(5):393-396
- CountryChina
- Language:Chinese
-
Abstract:
To review the clinical data of 13 patients with benign stenosis in deep small intestine treated by balloon-assisted enteroscopy from September 2017 to December 2019, and to evaluate the stenosis characteristics, endoscopic treatment effects and its safety in different lesions. The results showed that there were 6 cases of Crohn disease (CD), 4 cases of cryptogenic multifocal ulcerative stenosing enteritis (CMUSE) and 3 cases of small bowel stenosis with unknown etiology. A total of 38 stenoses were found after 17 enteroscopic treatments, including 35 web-like stenoses and 3 columnar stenoses. Thirteen stenoses were found in 6 patients with CD, including 4 single stenosis, 1 case of 3 stenoses and 1 case of 6 stenoses. Twenty-one stenoses were found in 4 patients with CMUSE and they were all web-like stenosis. A total of 18 times of balloon dilatation and 10 times of IT knife incision were performed. The technical success rate was 88.2% (15/17), and the clinical effective rate was 76.9% (10/13). The follow-up time was 3-28 months, and one patient underwent surgical treatment. There was 1 case of delayed hemorrhage and 3 cases of delayed perforation after operation. They were all improved by medical treatment. These results indicated that treatment of benign stenosis in deep small intestine by enteroscopy is technically feasible and can improve the symptoms of patients in a short time.
