中国实用儿科杂志Issue(1)：35-39,5.
胃镜结肠镜联合诊断儿童小肠淋巴管扩张症(附3例报告)
Sequential gastro-and colonoscopy in the diagnosis of 3 pediatric cases of intestinal lymphangiectasia
胡华建 1赵瑞秋 1李中跃 1朱朝敏1
作者信息
- 1. 重庆医科大学附属儿童医院消化科 儿童发育疾病研究省部共建教育部重点实验室 儿科学重庆市重点实验室 重庆市(儿童发育重大疾病诊治与预防)国际科技合作基地,重庆400014
- 折叠
摘要
Abstract
Objective To investigate whether sequential gastro- and colonoscopy could be diagnostically yielded to pediatric intestinal lymphangiectasia (IL). Methods Three cases of finally diagnosed IL by sequential gastro- and colonoscopy in Children s Hospital of Chongqing Medical University from Jan.2010 to Jun. 2012 were studied, and their clinical manifestations, laboratory examinations, endoscopic findings and intestinal mucosa histopathological features were retrospectively analyzed. Results Sequential gastro- and colonoscopy were clinically applied to the diagnosis of the suspected pediatric IL patients, smoothly and quickly, with gastroscopy to proximal jejunum and colonoscopy to terminal ileum. Based on our endoscopic and histopathological findings, together with their clinical manifestations and laboratory examinations, we finally confirmed 2 cases of primary intestinal lymphangiectasia (PIL), and 1 case of secondary (to systemic tuberculosis) intestinal lymphangiectasia (SIL) complicated with obscure gastrointestinal bleeding (OGIB). Conclusion With advantages of safety, cost-savings, and efficiency, sequential gastroscopy and colonoscopy (if gastroscopic findings negative) deserve a preferred routine clinical application to pediatric patients with suspected IL, especially to infants.关键词
胃镜术/结肠镜术/淋巴管扩张症/儿童Key words
gastroscopy/ colonoscopy/ intestinal lymphangiectasia/ children分类
医药卫生引用本文复制引用
胡华建,赵瑞秋,李中跃,朱朝敏..胃镜结肠镜联合诊断儿童小肠淋巴管扩张症(附3例报告)[J].中国实用儿科杂志,2013,(1):35-39,5.
