Zusammenfassung
Die Dünndarmdiagnostik wurde Anfang des 21. Jahrhunderts durch die Entwicklung und Einführung der Kapselendoskopie und wenig später der Ballonenteroskopie revolutioniert. Erstmals ist es somit möglich, den gesamten Dünndarm ohne die Notwendigkeit einer Laparotomie auf seiner gesamten Länge zu untersuchen und pathologische Befunde endoskopisch-interventionell zu therapieren. Trotz dieser enormen Fortschritte, die einen wesentlichen Stimulus für das vermehrte Interesse am „Dünndarm“ darstellen, haben herkömmliche Methoden wie die Pushenteroskopie und die intraoperative Enteroskopie weiterhin ihren Stellenwert.
Abstract
Since the introduction of capsule endoscopy and later balloon enteroscopy in clinical practice, endoscopic examination of the small bowel has dramatically improved. For the first time, it is possible to diagnose the whole small bowel without the necessity of laparotomy and intraoperative enteroscopy. The methods revolutionized the field of small bowel diagnostic and therapy and become part of daily clinical practice. This article provides a review of small bowel enteroscopic methods.
Literatur
Adler DG, Knipschield M, Gostout C (2004) A prospective comparison of capsule endoscopy and push enteroscopy in patients with GI bleeding of obscure origin. Gastrointest Endosc 59: 492–498
Akerman PA, Agrawal D et al. (2009) Spiral enteroscopy: a novel method of enteroscopy by using the endo-ease discovery SB overtube and a pediatric colonoscope. Gastrointest Endosc 69: 327–332
Barkin JS, Chong J, Reiner DK (1994) First-generation video enteroscope: Fourth-generation push-type small bowel enteroscopy utilizing an overtube. Gastrointest Endosc 4: 743–747
Benz C, Martin WR, Arnold J et al. (1997) Die endoskopische Untersuchung des Dünndarms mit Push-Enteroskopie. Eine prospektive Untersuchung. Dtsch Med Wochenschr 122: 391–395
Chak A, Koehler MA, Sundaram SN et al. (1998) Diagnostic and therapeutic impact of push enteroscopy: Analysis of factors associated with positive findings. Gastrointest Endosc 47: 18–22
Classen M, Frühmorgen P, Koch H et al. (1972) Peroral enteroscopy of the small and large intestine. Endoscopy 4: 157–162
Davies GR, Benson MJ, Gertner DJ et al. (1995) Diagnostic and therapeutic push type enteroscopy in clinical use. Gut 37: 346–352
Di Caro S, May A, Heine DG et al. (2005) DBE-European study group. The European experience with double-balloon enteroscopy: indications, methodology, safety, and clinical impact. Gastrointest Endosc 62: 545–550
Ell C, May A, Nachbar L (2005) Push-and-pull enteroscopy in the small bowel using the double-balloon technique: results of a prospective European multicenter study. Endoscopy 37: 613–616
Ell C, Remke S, May A et al. (2002) The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding. Endoscopy 34: 685–689
Gay G, Delvaux M, Fassler I (2006) Outcome of capsule Endoscopy in determining indication and route for push-and-pull enteroscopy. Endoscopy 38: 50–59
Hartmann D, Eickhoff A, Tamm R et al. (2007) Balloon-assisted enteroscopy using a single-balloon technique. Endoscopy 39 (Suppl 1): E276
Hartmann D, Schilling D, Bolz G et al. (2003) Capsule endoscopy versus push enteroscopy in patients with occult gastrointestinal bleeding. Z Gastroenterol 41: 377–382
Hartmann D, Schmidt H, Bolz G et al. (2005) A prospective two-center study comparing wireless capsule endoscopy with intraoperative enteroscopy in patients with obscure GI bleeding. Gastrointest Endosc 61: 826–832
Heine GDN, Hadithi M, Groenen MJM et al. (2006) Double-balloon enteroscopy: Indications, diagnostic yield, and complications in a series of 275 patients with suspected small-bowel disease. Endoscopy 38: 43–49
Jakobs R, Hartmann D, Benz C et al. (2006) Diagnosis of obscure gastrointestinal bleeding by intra-operative enteroscopy in 81 consecutive patients. World J Gastroenterol 12: 313–316
Kawamura T, Yasuda K, Tanaka K et al. (2008) Clinical evaluation of a newly developed single-balloon enteroscope. Gastrointest Endosc 68: 1112–1116
Landi B, Tkoub M, Gaudric M et al. (1998) Diagnostic yield of push-type enteroscopy in relation to indication. Gut 42: 421–425
Lewis BS, Kornbluth A, Waye JD (1991) Small bowel tumours: yield of enteroscopy. Gut 32: 763–765
Mata A, Bordas JM, Feu F et al. (2004) Wireless capsule endoscopy in patients with obscure gastrointestinal bleeding: a comparative study with push enteroscopy. Aliment Pharmacol Ther 20: 189–194
Matsumoto T, Esaki M, Moriyama T et al. (2005) Comparison of capsule endoscopy and enteroscopy with the double-balloon method in patients with obscure bleeding and polyposis. Endoscopy 37: 827–832
May A, Färber M, Aschmoneit I et al. (2010) Prospective multicenter trial comparing push-and-pull enteroscopy with the single- and double-balloon techniques in patients with small-bowel disorders. Am J Gastroenterol 105: 575–581
May A, Nachbar L, Ell C (2005) Double-balloon enteroscopy (push-and-pull enteroscopy) of the small bowel: feasibility and diagnostic and therapeutic yield in patients with suspected small bowel disease. Gastrointest Endosc 62: 62–70
Mensink PB, Haringsma J, Kucharzik T et al. (2007) Complications of double balloon enteroscopy: a multicenter survey. Endoscopy 39: 613–615
Mönkemüller K, Weigt J, Treiber G et al. (2006) Diagnostic and therapeutic impact of double-balloon enteroscopy. Endoscopy 38: 68–73
Möschler O, May AD, Müller MK et al. (2008) Complications in double-balloon-enteroscopy: results of the German DBE register. Z Gastroenterol 46: 266–270
Morris AJ, Mokhashi M, Straiton M et al. (1996) Push enteroscopy and heater probe therapy for small bowel bleeding. Gastrointest Endosc 44: 394–397
Morris AJ, Wasson LA, MacKenzie JF (1992) Small bowel enteroscopy in undiagnosed gastrointestinal blood loss. Gut 33: 887–889
Mylonaki M, Fritscher-Ravens A, Swain P (2003) Wireless capsule endoscopy: a comparison with push enteroscopy in patients with gastroscopy and colonoscopy negative gastrointestinal bleeding. Gut 52: 1122–1126
Nakamura M, Niwa Y, Ohmiya N et al. (2006) Preliminary comparison of capsule endoscopy and bouble-balloon enteroscopy in patients with small-bowel bleeding. Endoscopy 38: 60–67
Neu B, Ell C, May A et al. (2005) Capsule endoscopy versus standard tests in influencing management of obscure digestive bleeding: results from a German multicenter trial. Am J Gastroenterol 100: 1736–1742
O’Mahony S, Morris AJ, Straiton M et al. (1996) Push enteroscopy in the investigation of small-intestinal disease. QJM 89: 685–690
Pasha SF, Leighton JA, Das A et al. (2008) Double-balloon enteroscopy and capsule endoscopyhave comparable diagnostic yield in small-bowel diseases: a meta-analysis. Clin Gastroenterol Hepatol 6: 671–676
Pennazio M, Arrigoni A, Risio M et al. (1995) Clinical evaluation of push-type enteroscopy. Endoscopy 27: 164–170
Pennazio M, Santucci R, Rondonotti E et al. (2004) Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases. Gastroenterology 126: 643–653
Saurin JC, Delvaux M, Gaudin JL et al. (2003) Diagnostic value of endoscopic capsule in patients with obscure digestive bleeding: blinded comparison with video push-enteroscopy. Endoscopy 35: 576–584
Schlauch D, Riemann JF (1993) Enteroscopy – expansion of the diagnostic spectrum. Review and personal results. Z Gastroenterol 31: 464–467
Schmit A, Gay F, Adler M et al. (1996) Diagnostic efficacy of push-enteroscopy and long-term follow-up of patients with small bowel angiodysplasias. Dig Dis Sci 41: 2348–2352
Shackel NA, Bowen DG, Selby WS (1998) Video push enteroscopy in the investigation of small bowel disease: Defining clinical indications and outcomes. Aust N Z J Med 28: 198–203
Triester SL, Leighton JA, Leontiadis GI et al. (2005) A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with obscure gastrointestinal bleeding. Am J Gastroenterol 100: 2407–2418
Tsujikawa T, Saitoh Y, Andoh A et al. (2008) Novel single-balloon enteroscopy for diagnosis and treatment of the small intestine: preliminary experiences. Endoscopy 40: 11–15
Yamamoto H, Kita H, Sunada K et al. (2004) Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of small-intestinal diseases. Clin Gastroenterol Hepatol 2: 1010–1016
Zaman A, Katon RM (1998) Push enteroscopy for obscure gastrointestinal bleeding yields a high incidence of proximal lesions within reach of a standard endoscope. Gastrointest Endosc 47: 372–376
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Hartmann, D., Jakobs, R. & Riemann, J. Dünndarmendoskopie. Internist 51, 711–721 (2010). https://doi.org/10.1007/s00108-009-2565-x
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DOI: https://doi.org/10.1007/s00108-009-2565-x