胶囊内镜检查对双气囊小肠镜进镜方式选择的指导作用
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李晓波, 戈之铮, 戴 军, 高云杰, 刘文忠,
胶囊内镜;双气囊小肠镜;经口进镜;经肛进镜李晓波,戈之铮,戴军,高云杰,刘文忠,胡运彪,萧树东.胶囊内镜检查对双气囊小肠镜进镜方式选择的指导作用. 世界华人消化杂志2006;14(18)1
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李晓波, 戈之铮, 戴军, 高云杰, 刘文忠, 胡运彪, 萧树东, 上海交通大学医学院附属仁济医院消化内科 上海市消化疾病研究所 上海市 200001上海市重点学科建设项目资助, No. Y0205
通讯作者: 戈之铮, 200001, 上海市, 上海交通大学医学院附属仁济医院消化内科. zhizhengge@yahoo.com.cn
电话: 021-58752345-3219 传真: 021-63200879
收稿日期: 2006-04-07 接受日期: 2006-05-11
Directive role of capsule endoscopy in determining the route for double-balloon enteroscopy
Xiao-Bo Li, Zhi-Zheng Ge, Jun Dai, Yun-Jie Gao, Wen-Zhong Liu, Yun-Biao Hu, Shu-Dong Xiao
Xiao-Bo Li, Zhi-Zheng Ge, Jun Dai, Yun-Jie Gao, Wen-Zhong Liu, Yun-Biao Hu, Shu-Dong Xiao, Department of Gastroenterology, Renji Hospital, Medical college of Shanghai Jiaotong University; Shanghai Institute of Digestive Diseases, Shanghai 200001, China
Supported by Key Subject Foundation of Shanghai, China, No. Y0205
Correspondence to: Zhi-Zheng Ge, Department of Gastroenterology, Renji Hospital, Medical college of Shanghai Jiaotong University, 200001 Shanghai, China. zhizhengge@yahoo.com.cn
Received: 2006-04-07 Accepted: 2006-05-11
Abstract
AIM:To evaluate the role of capsule endoscopy in determining the route for double-balloon enteroscopy.
METHODS:Twenty patients with negative or equivocal evaluation after capsule endoscopy received double-balloon enteroscopy (under anesthesia with propofol) by oral or anal route. The choice of the insertion route of the endoscope for the first attempt at double-balloon enteroscopy was made according to a time index (the value of the time in minutes for transit of the capsule endoscope from the pylorus to the lesion divided by the value of the time for transit of the capsule endoscope from the pylorus to the cecum). An anal route was indicated when the time index was more than 0.50. A second procedure was undertaken through the alternative route several days later when the lesion of interest was not found during the first one ......
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