摘要
目的评价双气囊小肠镜在儿童消化道疾病中的应用价值。方法选择2006年12月-2010年12月广州市妇女儿童医疗中心收治的8例疑似小肠病变的患儿,其中以排黑便和(或)暗红色便为主要症状7例,以慢性腹泻、生长发育迟缓为主要症状1例。胃肠镜检查,单光子发射计算机断层成像术、胶囊胃镜、全消化道造影、腹腔动脉血管造影等检查,均为阴性。行双气囊小肠镜检查,7例患儿先经口再经肛门进镜检查,1例患儿经口进镜检查。结果分别经口及肛门进镜的7例患儿操作时间为120～150 min,经口进镜的1例患儿操作时间约为60 min。检出毛细血管扩张症2例,小肠淋巴管扩张症、嗜酸性肠病、胃窦溃疡各1例,未见明显病变3例,检出率约为62.5%。均未发生操作相关的严重不良反应和并发症。结论双气囊小肠镜可以弥补胃肠镜或胶囊内镜检查的不足,是一项安全有效的临床诊疗方法。
Objective To evaluate the value of double - balloon enteroscope examination for pediatric gastrointestinal disease. Methods Eight cases suspected of small intestinal diseases with negative findings on various routine examinations including gastrointestinal endosco- py, single- photon emission computed tomography, capsule endoscopy, the whole digestive tract radiography and digital substraction angiogra- phy underwent double balloon enteroseope examination from Dec. 2006 to Dec. 2010. Seven suspected patients had gastrointestinal hemor- rhage, another 1 case had chronic diarrhea and malnutrition. Seven patients received enteroseope examination via mouth and rectum, while another 1 case received the exteroscope examination via month only. Results It took 120 - 150 min via mouth and rectum in 7 cases, while it took 60 miu via mouth in 1 case. The results included telangiectasia（2 cases）, intestinal lymphangiectasia（ 1 case）, and acidophilus intestinal diseases （ 1 case）, gastric ulcer （ 1 ease） , negative results （3 cases）, the detection rate was 62.5 %. There were no relevant technical problems or severe complications. Conclusions Double - balloon enteroscope can redeem the shortages of gastroscope and capsule gastroscope, and it is safe for diagnosis of small intestinal diseases in children.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2012年第7期511-512,共2页
Journal of Applied Clinical Pediatrics
关键词
双气囊小肠镜
小肠疾病
胃肠道
儿童
double balloon enteroscope
small intestinal disease
gastrointestinal tract
child
