- 作者：Josep M. Bordas ; JMBORDAS@clinic.ub.es ; jbordas@adam.es ; Josep Llach ; Alfredo Mata
- 关键词：Enteroscopia ; Enteroscopia de un baló ; n ; Enteroscopia de doble baló ; n
- 刊名：Gastroenterolog铆a y Hepatolog铆a
- 出版年：2009
- 期刊代码：pca167_02105705
- 类别：med
- 出版时间：June-July 2009
- 卷：32
- 期：6
- 页码：424-430
- 文件大小：335 K
Single- and double-balloon enteroscopes have similar efficacy. The entire small bowel can be examined through the oral route in 60鈥?0 minutes in 25鈥?0%of patients. Using the oral and rectal routes, complete examinations can be performed in 75%of patients
The diagnostic indications are mid-gastrointestinal bleeding tumors, Crohn's disease, intestinal obstruction and atypical malabsorption. Therapeutic indications include access to enterostomy, hemostasis, foreign body withdrawal, dilatation and polypectomy in the small bowel. This procedure is also useful to place enteral feeding tubes in patients with an excluded stomach.
Hemostatic efficacy is high in patients with elevated transfusional requirements.
For polypectomy, this technique has not been demonstrated to have the same efficacy/risk as colonoscopy.
Complications include pancreatitis (0.34%) and perforation (0.34鈥?.4%). The level of evidence for almost all indications is low, since few prospective and homogeneous studies have been performed.