在患有短肠综合征的患者中,双气球肠镜评估和监测
Lucia Scaramella1, Andrea Sorge2, Gian Eugenio Tontini3
1Gastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Therapeutic advances in gastroenterology
|February 9, 2026
概括
双气球肠镜 (DBE) 对于患有短肠综合征 (SBS) 的患者来说是安全有效的. 这种程序可以进行完整的小肠 (SB) 检查,有助于诊断和监测诸如恶性瘤等疾病.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 小肠疾病 小肠疾病
背景情况:
- 在短肠综合征 (SBS) 患者中,双气球肠镜 (DBE) 的安全性和实用性仍然在很大程度上未被描述.
- DBE提供了完整的残留小肠 (SB) 探索,监测泰德格卢提德 (TED) 治疗和手术干预的潜力.
研究的目的:
- 评估SBS诊断的患者肠镜检查的安全性,可行性和诊断效果.
- 评估DBE在SBS患者残留SB的完全可视化能力.
主要方法:
- 在2019年12月至2023年10月期间接受DBE的12名SBS患者的回顾性分析.
- 收集的数据包括技术成功率,不良事件,诊断产量和剩余SB长度的测量.
主要成果:
- 15个DBE手术在技术上是成功的,在12名SBS患者 (10名在TED治疗中) 中没有发生不良事件.
- 相关发现的诊断收益率为60%,80%实现了完整的SB可视化.
- 没有检测到小肠恶性瘤;剩余的SB长度被重新评估.
结论:
- 双气球肠镜 (DBE) 是SBS患者可行的,安全和有效的内镜工具.
- 在这种患者群体中,DBE促进了小肠和结肠的综合诊断和瘤监测.
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