Diagnostic value of double balloon endoscopy for obscure gastrointestinal bleeding

柏健鹰; 王沂芹; 郭红; 王雷; 张朋彬; 李宜辉; 凌贤龙; 樊超强; 赵晓晏

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Diagnostic value of double balloon endoscopy for obscure gastrointestinal bleeding

更新时间：2026-01-09

- Diagnostic value of double balloon endoscopy for obscure gastrointestinal bleeding
- Journal of Army Medical University Vol. 31, Issue 4, Pages: 352-354(2009)
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  CLC： R443.8;R573.2;R574
- Published：2009
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柏健鹰,王沂芹,郭红,王雷,张朋彬,李宜辉,凌贤龙,樊超强,赵晓晏.双气囊电子小肠镜对不明原因消化道出血的诊断价值[J].陆军军医大学学报(原第三军医大学学报),2009,31(04):352-354.

　BAI Jian-ying,WANG Yi-qin,GUO Hong,WANG Lei,ZHANG Peng-bin,LI Yi-hui,LING Xian-long,FAN Chao-qiang,ZHAO Xiao-yan.Diagnostic value of double balloon endoscopy for obscure gastrointestinal bleeding[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(04):352-354.
柏健鹰,王沂芹,郭红,王雷,张朋彬,李宜辉,凌贤龙,樊超强,赵晓晏.双气囊电子小肠镜对不明原因消化道出血的诊断价值[J].陆军军医大学学报(原第三军医大学学报),2009,31(04):352-354. DOI：

　BAI Jian-ying,WANG Yi-qin,GUO Hong,WANG Lei,ZHANG Peng-bin,LI Yi-hui,LING Xian-long,FAN Chao-qiang,ZHAO Xiao-yan.Diagnostic value of double balloon endoscopy for obscure gastrointestinal bleeding[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(04):352-354. DOI：

摘要

目的评价双气囊电子小肠镜对不明原因消化道出血的诊断价值和安全性及耐受性。方法 2006年10月至2007年9月

在异丙酚静脉麻醉辅助下

对76例不明原因消化道出血患者施行双气囊电子小肠镜检查。结果 76例患者中发现病变63例

病变检出率为82.9％。包括单发或多发性小肠溃疡17例，非特异性炎症9例，钩虫病7例，息肉病6例，血管畸形6例，憩室病4例（其中美克尔憩室3例），克罗恩病4例，间质瘤4例，高分化腺癌3例，十二指肠溃疡2例，蛔虫1例，未见明显异常13例。所有患者均顺利完成检查

未发生出血、穿孔等严重并发症，也未出现麻醉并发症或麻醉意外。结论双气囊电子小肠镜对不明原因消化道出血具有较高病变检出率和病因诊断准确率

是一种安全、可靠的检查手段。

Abstract

Objective To evaluate the significance of double balloon endoscopy in the diagnosis of obscure gastrointestinal bleeding. Methods From October 2006 to September 2007

76 patients (46 males and 30 females with 49.4 years of mean age

range 16-78 years) with obscure gastrointestinal bleeding underwent double balloon endoscopy (32 via mouth

24 via anus

20 via both). Results The bleeding source was identified in 63 of 76 patients

with a total diagnosis rate of 82.9%. Small intestine ulcer was in 17 cases

nonspecific inflammation in 9 cases

ancylostomiasis in 7

polyps in 6

vascular deformity in 6

diverticulosis in 4 (Michael diverticulosis in 3)

Crohn’s disease in 4

mesenchymoma in 4

highly differentiated adenocarcinoma in 3

duodenal ulcer in 2

ascariasis in 1

and essentially normal in 13. No serious complications

such as hemorrhage and intestinal perforation

occurred in the operation procedure. Conclusion Double balloon endoscopy is an effective and safe method for diagnosis of obscure gastrointestinal bleeding.

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Department of Gastroenterology， Chongqing Key Laboratory of Precise Prevention and Treatment of Digestive Malignancies

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