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首页> 外文期刊>Endoscopy International Open >Therapeutic enteroscopy using a new single-balloon enteroscope: a case series
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Therapeutic enteroscopy using a new single-balloon enteroscope: a case series

机译：使用新的单气球Entercope透镜治疗肠镜检查：案例系列

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Background and study aims: Balloon-assisted enteroscopy allows therapeutic intervention in the small bowel, and even of the biliopancreatic system in patients with altered anatomy. However, the conventional single-balloon enteroscope (SBE) has limited therapeutic use because of its small-caliber working channel and the lack of an additional water jet channel. The new single-balloon enteroscope prototype XSIF-180JY has been developed to overcome these problems. We present experience with use of the new SBE prototype during 14 therapeutic endoscopy procedures, which illustrates its advantages. Patients and methods: During a 2-month period, 16 SBE procedures were performed (2 antegrade, 2 retrograde and 12 ERCP procedures) using the XSIF-180JY prototype, 14 of which were done with therapeutic intent. Results: The XSIF-180JY SBE allowed deep enteroscopy with balloon dilation and multiple intestinal polypectomies. Moreover, 14 ERCP procedures were successfully performed in 12 patients with Roux-en-Y altered anatomy. Sphincterotomy, balloon dilation, stone extraction and 7 Fr plastic stent placement were performed through the 3.2-mm working channel. The additional water jet was useful for flushing away stone fragments from the intrahepatic bile ducts and the retrieval basket and for flushing away blood from a bleeding sphincterotomy. No complications related to the enteroscope were encountered. Conclusions: The new therapeutic XSIF-180JY SBE permitted therapeutic enteroscopy and ERCP through its 3.2-mm working channel and the additional water jet channel proved useful in flushing away biliary stones and blood without the need to clear the working channel. This newly developed SBE has the advantage of a larger working channel and an additional water jet, improving therapeutic enteroscopy.
机译：背景和研究旨在：气球辅助肠镜检查允许在患有解剖学改变的患者中的小肠中的治疗性干预，甚至均衡患者。然而，由于其小口径工作通道和额外的水射流通道，传统的单气囊肠镜（SBE）具有有限的治疗用途。已开发出新的单气球肠镜原型XSIF-180JY以克服这些问题。我们在14个治疗内窥镜检查过程中使用新的SBE原型的经验，说明了它的优点。患者和方法：使用XSIF-180JY原型，进行16个SBE程序（2个缩短，2次逆行和12个ERCP程序），其中14个用治疗意图进行。结果：XSIF-180JY SBE允许深肠镜检查和球囊扩张和多种肠道菌斑。此外，在12例Roux-Zh-Y改变解剖学中成功进行了14例ERCP程序。通过3.2mm工作通道进行晶粒切开术，球囊扩张，石头提取和7个FR塑料支架放置。额外的水射流可用于从肝内胆管和检索篮中冲洗掉石头碎片，并从出血的括约肌切开术中冲洗血液。没有遇到与肠镜相关的并发症。结论：新的治疗性XSIF-180JY SBE允许治疗肠镜检查和ERCP通过其3.2毫米的工作通道和额外的水射流通道证明，在不需要清除工作通道的情况下，有助于冲洗胆汁结石和血液。新开发的SBE具有更大的工作通道和额外的水射流，改善治疗肠镜检查。

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