,

, .
( / )
,
(5-6 m), ,
.

(push type enteroscopy).

, 30-150cm
Treitz1,
, .
(2000)
, (2001)

.
11 30mm 3,7gr
2 50000
8 .
,
,
'
(80%
),
. ,

1-2

.

,

(, CT ).

,
,
5% 2, 50%
.

, :
()

 92% vs 44% 3,
:
.
(,
, , , ,
), ( ,
, , ), .
gold standard
,
89%, 95%,
97% 82,6%.
91%.

,
( , 2 ),
(
, , ). - 4
, :
(14 )
63% 28%,
(3 ) 67% 8%
42% vs 6%.
v.
Crohn,
.
, ,
.
(70%)5
5-AS .
30%
.
-
Crohn, (,
) (CT enterography)
() .
Crohn
.

6, ,
,
7.

,

 .
, ,
( ).


, .

.
8 (
3cm) (GIST)
.


.

.
. Crohn
5%
.
,

,
' .
Yamamoto et al9
2001
,
.
Fujinon
(double
balloon enteroscopy push and pull enteroscopy).
To 200cm
, Latex,
(overtube) 145 mm 12,2 mm
(Latex).


overtube.
,
(45mmHg)
(alarm) .
: , ,
(DVD-recorder).
,

 overtube,

- overtube .

.
,
(
),
, '
,
midazolam meperidine 8-10 50100 mgr . 90 min.
overtube
, .
overtube
. ,
,
overtube overtube
. overtube
, ,
( overtube) (
).
,
. 40 cm
2/3
. (
) .

, .
8 - 35%
. ' , 1/3 ,
.
,
( )

.
,
overtube ,
,

.

, 80%, -
- .
2,2mm (4505),
,
.
(-4505) 2,8mm '
,

.
( )
, .
( ), (
),
v. Crohn
:
, (

.
76%
(Yamamoto et al)10 /
40%, / 20%,
14%. 11
(79%),
(40%), /
16%, /
(13%).
41% (
APC ).
34%,
30%, 10%, 18%
..
Crohn 72%.
48 12, (83%),
(35%) . 23
v. Crohn, 3 , 2 Behnet, 8 , 3

, . 9
.
. v. Crohn, 61%,
42%, 40%,
22% 22%.

 17% .
61%, 26%
9%.

( - )
. Crohn
, -
,
. ,
. Meckel
,
13.

Peutz-Jeghers.
' ,

.
( )
,
.

14.

,
(2,2mm) ' -4505
.
, Argon, ,
, .


.
APC.

'
.

, -
.
1-2 .


, .

 . overtube
,
' (-4505).

, ,
.
v. Crohn,
( 15 ),
15,

( 13%, 25% 30 ).


.
, R and
ERCP
.
India ink
,

.
16
35
:
63,2 , 60%
55% . 85%
(. 8 ).

.

. 86%
.
28 , 7

, .
,
. 120 min
240 cm.
19 ,
5, 1, 2, 1, 7
. 16
, 2, 2
, 14 .

 80%
60% ,
.
77%
, 23%, 6%
APC 54%.
51%

.
'

,

.
.
2005 17
13
9
.
(
,
) ,
double balloon
().



,
.

.

,
'

.

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