Résumé
La sonde d’entéroscopie est un instrument utile pour explorer l’intestin grêle. Sa progression est limitée par la longueur de l’intestin grêle et les difficultés de développer un instrument qui remonte dans l’intestin grêle sous l’action des mouvements péristaltiques. Il existe un endoscope de modèle courant qui peut progresser très profondément dans l’intestin grêle. Cette progression est toutefois limitée par plusieurs facteurs dont l’impossibilité de repérer exactement une lésion dans cet intestin ou d’obtenir une angulation satisfaisante. Pour environ 50 % des patients explorés pour saignement digestif d’origine occulte, la sonde d’entéroscopie permet de poser un diagnostic sur le site de la lésion hémorragique.
Summary
Sonde Enteroscopy is a clinically useful tool to endoscopically explore the small bowel. Progress has been limited by the length of the small bowel, and the difficulty in developing an instrument which will be propelled through the small bowel by peristaltic action. There is a current model endoscope which can progress deep into the small bowel. It is limited by several factors, including the inability to mark a lesion in the small bowel, or to have tip deflection. In approximately 50 % of patients with obscure gastrointestinal bleeding, the sonde enteroscope is able to make a diagnosis of the bleeding site.
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Waye, J.D. Exploration de l’intestin grêle par la sonde d’entéroscopie. Acta Endosc 26, 277–291 (1996). https://doi.org/10.1007/BF02963392
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DOI: https://doi.org/10.1007/BF02963392
Mots-clés
- entéroscopie
- entéroscopie de l’intestin grêle
- hémorragie d’origine intestinale occulte
- malformations artério-veineuses
- tumeurs de l’intestin grêle
- sonde d’entéroscopie