Роль капсульной эндоскопии в диагностике предполагаемого тонкокишечного кровотечения

   В данном обзоре обсуждается роль капсульной эндоскопии в диагностике предполагаемого тонкокишечного кровотечения и сравниваются рекомендации Европейского общества гастроинтестинальной эндоскопии (European Society of Gastrointestinal Endoscopy, ESGE), Американской коллегии гастроэнтерологов (American College of Gastroenterology, ACG), Американского общества гастроинтестинальной эндоскопии (American Society for Gastrointestinal Endoscopy, ASGE), Канадской гастроэнтерологической ассоциации (Canadian Association of Gastroenterology, CAG), объединенного консенсуса четырех японских экспертных сообществ. Европейские и североамериканские эксперты рекомендуют проводить капсульную эндоскопию в качестве диагностического метода первой линии у взрослого пациента с предполагаемым тонкокишечным кровотечением без жизнеугрожающих признаков после неинформативных процедур илеоколоноскопии и эзофагогастродуоденоскопии. Японские эксперты, напротив, отдают предпочтение методам томографической визуализации грудной и брюшной полостей («from the chest to the pelvis» – от груди до таза), указывая на капсульную эндоскопию как альтернативный метод.

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