小肠克罗恩病的内镜诊治共识(2024,上海)

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AbstractSmallbowel Crohn'sdisease(CD)isamulti-ulcerative lesion thattends tooccur inthesmallintestine, whichleads tointestinalobstruction,stricture,andbleedingeasily.Withtheclinicalapplicationofcapsuleendoscopyand balloon-assisted enteroscopy,thedetectionrateofsmallbowel CD has increased significantly.However,the treatmentof smallbowel CDisstilladiffcult issue which troublesclinical practice.Itisof great significance tostandardizethe diagnosisand treatmentprocess,optimizethediagnosisandtreatmentstrategy,andfurtherimprovethediagnosisand treatment eficiency.Therefore,itis necessarytoformulate anexpertconsensusontheendoscopic diagnosisandtreatment ofsmallbowelCD.Basedontheevidence-basedmedicineandexpertexperience,theconsensusfocusontheclinicalissues including theepidemiology,endoscopicand imagingdiagnosis,enteroscopy treatment,drug treatmentandfollw-upof small bowelCD,and formulatedrelevantrecommendations,soas tostandardizethediagnosisand treatmentproess of small bowel CD and improve the prognosis of patients.
Key WordsSmal Intestine;Crohn Disease;Capsule Endoscopy;Double Ballon Enteroscopy;Diagnosis; Therapy
克罗恩病是一类与免疫异常相关的非特异性慢性肠道炎性疾病,属于炎症性肠病(inflammatoryboweldisease,IBD)范畴,通常按照病变部位可分为结肠型、回肠-结肠型、回肠末端型和上消化道型克罗恩病,其中约 30% 的克罗恩病仅累及小肠[-2]。(剩余58284字)