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首页> 外文期刊>Endoscopy International Open >Cap-assisted retrograde single-balloon enteroscopy results in high terminal ileal intubation rate
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Cap-assisted retrograde single-balloon enteroscopy results in high terminal ileal intubation rate

机译：CAP辅助逆行单气囊肠镜检查结果导致高末端ILEAL插管率

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Background and study aims: Retrograde single-balloon enteroscopy (RSBE) facilitates evaluation of the distal small bowel and provision of appropriate therapy when necessary. Intubation of the terminal ileum (TI) is a major rate-limiting step, with failure rates as high as 30?%. Cap-assisted endoscopy has proven beneficial in other aspects of endoscopy. We have noticed that it similarly aids in TI intubation during RSBE by facilitating opening of the ileocecal valve (ICV). The primary aim of this study was to measure the TI intubation rate using cap-assisted RSBE. Other procedural details and outcomes were also measured. Patients and methods: A total of 36 consecutive RSBEs performed between July 2011 and May 2014?at the Medical University of South Carolina were retrospectively reviewed. All procedures were performed or supervised by our center’s small bowel endoscopist (ASB). Outcomes measured included TI intubation rate, procedure time, depth of maximal insertion (DMI), diagnostic yield (DY), therapeutic yield (TY), and complications. Results: The TI intubation rate was 97?% (35?/36). The one failure was due to stool completely obscuring the cecum. Median procedure time was 54 minutes, with a mean DMI of 68?cm beyond the ICV. The technical success rate was 86?%, whereas DY and TY were 61?% and 25?%, respectively. There were no complications. The study was limited in that it involved a single endoscopist at a single center. Conclusions: Cap-assisted RSBE results in a high TI intubation rate, without compromise to safety or procedural yield.
机译：背景和研究旨在：逆行单气球肠镜（RSBE）有助于评估远端小肠，并在必要时提供适当的治疗。端子回肠（TI）的插管是一个主要的速率限制步骤，失效率高达30？％。 CAP辅助内窥镜检查已被证明在内窥镜检查的其他方面有益。我们注意到，通过促进回瓦（ICV）的开口，它同样有助于在RSBE期间的Ti插管。本研究的主要目的是使用CAP辅助RSBE测量TI插管率。还测量了其他程序细节和结果。患者和方法：2011年7月至2014年7月之间共进行36个连续的RSBES？在南卡罗来纳大学的回顾性审查。所有程序都由我们的中心的小肠内窥镜（ASB）进行或监督。测量的结果包括Ti插管率，程序时间，最大插入深度（DMI），诊断产率（Dy），治疗产率（TY）和并发症。结果：Ti插管率为97？％（35？/ 36）。一个失败是由于粪便完全遮挡了盲肠。中位程序时间为54分钟，平均DMI为ICV超出68Ω厘米的。技术成功率为86？％，而Dy和Ty分别为61？％和25？％。没有并发症。该研究的限制在于它涉及一个中心的单个内窥镜师。结论：CAP辅助RSBE导致高TI插管率，不妥协于安全或程序产量。

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