CAJ | 학술논문

目的初步评价单气囊内镜在小肠疾病诊治中的应用价值.方法回顾分析2009年2月-8月使用Olympus单气囊内镜检查23例临床怀疑小肠疾病患者的临床资料.接受检查患者包括消化道隐源性出血9例,腹痛7例,胶囊内镜检查发现可疑肿物4例,高度怀疑克罗恩病3例.结果 23名患者共进行了34次单气囊内镜检查.内镜准备平均时间少于5 min.经口途径的平均检查时间为(61±25)min,经肛途径的平均检查时间为(67±28)min.6名患者完成了全小肠检查.小肠病变的检出率为60.9%.无穿孔等严重并发症发生.结论单气囊内镜的准备及操作过程简单,而且能够安全的检查小肠.单气囊内镜可用于可疑小肠疾病的诊治.
목적 초보평개단기낭내경재소장질병진치중적응용개치.방법 회고분석2009년2월-8월사용Olympus단기낭내경검사23례림상부의소장질병환자적림상자료.접수검사환자포괄소화도은원성출혈9례,복통7례,효낭내경검사발현가의종물4례,고도부의극라은병3례.결과 23명환자공진행료34차단기낭내경검사.내경준비평균시간소우5 min.경구도경적평균검사시간위(61±25)min,경항도경적평균검사시간위(67±28)min.6명환자완성료전소장검사.소장병변적검출솔위60.9%.무천공등엄중병발증발생.결론 단기낭내경적준비급조작과정간단,이차능구안전적검사소장.단기낭내경가용우가의소장질병적진치.
Objective To evaluate the effectiveness of single balloon enteroscopy (SBE) in diagno-sing of suspected lesions in small intestine. Methods Data of 23 patients with suspected small intestinal disease, who underwent SBE (Olympus) between February 2009 and August 2009, were retrospectively studied. A total of 34 procedures were performed in 23 patients. The indications for the examination were suspected obscure gastrointestinal bleeding (n = 9), abdominal pain (n = 7), suspected intestinal tumor re-vealed by capsule endoscopy (n = 4), and Crohn disease (n = 3). Results The average preparation time of SBE was less than 5 minutes. The mean procedure time was 61±25 minutes and 67±28 minutes for the oral and anal routes, respectively. Examination of whole length of small intestine was achieved in 6 patients. The diagnostic rate of small-intestinal lesions was 60. 9%, and no severe complications including perforation occurred. Conclusion SBE is safe and easy to prepare and perform, which can be a useful diagnostic and therapeutic tool for suspected small bowel disease.