RESUMO
The authors analyze their experience with video-capsular enteroscopy and balloon-assisted enteroscopy in 184 patients. High diagnostic significance of enteroscopy and the possibility to perform minimally invasive operations are shown.
Assuntos
Endoscopia por Cápsula , Endoscopia Gastrointestinal , Gastroenteropatias , Hemorragia Gastrointestinal , Hemostase Endoscópica/métodos , Intestino Delgado/patologia , Adulto , Idoso , Cápsulas Endoscópicas , Endoscopia por Cápsula/efeitos adversos , Endoscopia por Cápsula/instrumentação , Endoscopia por Cápsula/métodos , Endoscopia Gastrointestinal/efeitos adversos , Endoscopia Gastrointestinal/métodos , Feminino , Gastroenteropatias/diagnóstico , Gastroenteropatias/fisiopatologia , Gastroenteropatias/cirurgia , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/terapia , Humanos , Intestino Delgado/fisiopatologia , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Resultado do TratamentoRESUMO
The novel techniques of enteroscopy provide stable access into difficult for accessing parts of the small intestine, guarantee high quality diagnostics and topmost the possibility for getting biopsy and to treat small bowel diseases. The paper discusses the benefits and possibilities of video capsule and balloon-assisted enteroscopy: the main directions of usage, indications and contraindications, methodological aspects of jejunoileo- and colonoileoscopy. We presented our own experience in video capsule endoscopy and single balloon enteroscopy (128 procedures in 92 patients) in diagnostics and treatment of small bowel diseases.
Assuntos
Endoscopia por Cápsula/métodos , Enteropatias/diagnóstico , Intestino Delgado/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Cateterismo , Diagnóstico Diferencial , Feminino , Humanos , Enteropatias/patologia , Enteropatias/cirurgia , Intestino Delgado/cirurgia , Masculino , Pessoa de Meia-IdadeRESUMO
Small bowel tumors are very uncommon and account for 3% to 6% of all gastrointestinal neoplasms. Practical application of videocapsule endoscopy and balloon-assisted enteroscopy have allowed to investigate and reveal neoplasmatic leasions in deep parts of gastrointestinal tract which earlier were hard to access. The modern techniques allow to evaluate the macroscopic picture of tumors more clearly, to determine its nature and location, take biopsy sample, to prescribe reasonable chemotherapy, to remove a tumor endoscopically or define indications for a planned surgical intervention. This article presents a widely overview over epidemiology, classification, clinical aspects, methods and diagnostic possibilities of different diagnostic techniques of revealing small bowel tumors, and own results of diagnosis and treatment of patients (n = 48) with small bowel tumors (2003-2010).
