单气囊小肠镜诊断和治疗结石性小肠梗阻的临床初探

Clinical study on diagnosis and treatment of calculous small intestinal obstruction by single-balloon enteroscope

摘要:

目的 探讨单气囊小肠镜在诊断和治疗结石性小肠梗阻中的可行性和疗效。方法 回顾性分析2013年7月－2023年12月该院收治的16例因结石性小肠梗阻行内镜下小肠结石取出术的患者的临床资料，分析取石结果和疗效。结果 16例患者均完成小肠镜检查。其中，15例成功取石，1例因结石太大无法通过咽食管处，后送至胃内转外科手术切开取石。结论 单气囊小肠镜取石效果好，且术后恢复快，并发症少。值得临床推广应用。

Abstract:

Objective To explore the feasibility and efficacy of single-balloon enteroscope in the diagnosis and treatment of calculous small intestinal obstruction.Methods A retrospective analysis was performed on the clinical data of 16 patients who underwent endoscopic enterolith removal for small intestinal obstruction from July 2013 to December 2023. The outcomes of stone removal and therapeutic efficacy were evaluated.Results All the 16 patients successfully underwent single-balloon enteroscope. Among them, 15 cases achieved successful stone extraction, while 1 case failed due to an oversized stone that could not pass through the pharyngoesophageal junction. The stone was subsequently pushed to the stomach and removed through surgical operation finally.Conclusion Single-balloon enteroscope has excellent efficacy in enterolith removal, with rapid postoperative recovery and less complications. It is worthy of widespread clinical application.