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1、双气囊电子小肠镜在小肠疾病诊断中的应用价值附183例双气囊电子小肠镜检查结果毛高平宁守斌白莉唐杰曹传平杨春敏毛高平宁守斌白莉曹传平唐杰杨春敏陈英周平杜斌解放军空军总医院消化内科100036毛高平：主任医师，硕士生导师主要从事小肠疾病基础及临床研究，内窥镜微创治疗研究全军十一五面上课题资助项冃NO06MA026通讯fl■'者：毛高平100036解放军空军总医院消化内科Email:maogaoDin@mcdmail.com.cn屯话：010-66928232Clinicaloutcomesofdouble-balloonendoscopyforthediagnosisof183cas
2、esofsuspectedsmall-intestinaldiseasesGao-pingMao,Shou-binNing,LiBai,JieTang,Chuan-pingCao,Chun-minYang,YingChen,PingZhou,BinDu.Gao・pingMao,Shou-binNing,LiBai,Chuan-pingCao,JieTang,Chun-minYang,YingChen,PingZhou,BinDu.DepartmentofGastroenterology,Air-forceGeneralHospital,Beijing100036,ChinaCor
3、respondenceto:MaoGao-ping,DepartmentofGastroenterology,Air-forceGeneralHospital,Beijing100036,Chinamaogaopin@medmail.com.cnAbstractAIMToevaluatethediagnosticrates,indications,andcomplicationsofdouble-balloonenteroscopy(DBE)forsmall-boweldiseasesMETHODSAtotalof183patients(74women,109men)withsu
4、spectedorknownsmallboweldiseaseunderwent210DBEprocedures(underanesthesiawithpropofol,viatheoralapproach61patients,analapproach109patients,bothapproaches27patients)atourinstitution.RESULTSTheachievementratioofDBEwas99.5%(209/210),Themeandurationoftheprocedurewas75min(range30-180min)Endoscopy.A
5、positivediagnosiswasachievedin130patients,theoveralldiagnosticyieldwas71.0%(130/183).Themaindiscoveredsmallboweldisease:jejunitis/ileitis(n=43),Crohn9sdisease(n=19),angiodysplasticlesions(n=17),polyps(n=14),tumor(n=14,malignancy10,benign4),Peutz-Jegherssyndrome(n=8),diverticulaandceliositesof
6、smallintestine(n=4respectively),otherrarediseasesofintestine(n=7).ViaoralDBEprocedureaggravatedabdominalpaininonecase,followedsurgerydiscoveredthediverticulumofendileumandintussusception.Nogastric-intestinalperforationsandotherseriouscomplicationsoccurred・afewpatientscomplainedlightindisposit
7、ionorpaininpharyngealportionorparsanalisafterDBEprocedure・CONCLUSIONSDouble-balloonendoscopypermitstheexplorationofthesmallintestinewithahighsuccessrateoftotalenteroscopy.Theprocedureissafeanduseful,anditprovideshighdiagnosticyields,andcanber
