小肠克罗恩病的内镜诊治共识（2024，上海）

Consensus on the endoscopic diagnosis and treatment for small bowel Crohn disease (2024, Shanghai)

摘要:

小肠克罗恩病是好发于小肠的多发溃疡性病变，容易导致肠道梗阻、狭窄及出血。随着胶囊内镜及气囊辅助式小肠镜等技术的临床推广应用，小肠克罗恩病的发现较前明显增多，但小肠克罗恩病的治疗依然是困扰临床的难题。如何规范小肠克罗恩病的诊治流程并优化诊治策略，进一步提高诊治效率具有重要现实意义，有必要制定小肠克罗恩病的内镜诊治专家共识。本共识基于循证医学依据及专家经验，聚焦小肠克罗恩病的流行病学、内镜及影像学诊断、小肠镜治疗、药物治疗及随访等临床问题，形成相关推荐意见，以便规范小肠克罗恩病诊治流程，改善患者预后。

Abstract:

Small bowel Crohn disease (CD) is a multi‑ulcerative lesion that tends to occur in the small intestine, which leads to intestinal obstruction, stricture, and bleeding easily. With the clinical application of capsule endoscopy and balloon‑assisted enteroscopy, the detection of small bowel CD has increased significantly, however, the treatment of small bowel CD is still a difficult issue which troubled clinical practice. It is of great practical significance to standardize the diagnosis and treatment process, optimize the diagnosis and treatment strategy, and further improve the diagnosis and treatment efficiency of small bowel CD. It is necessary to formulate an expert consensus on the endoscopic diagnosis and treatment of small bowel CD. Based on evidence‑based medicine and expert experience, the consensus focused on clinical issues including the epidemiology, endoscopic and imaging diagnosis, enteroscopy treatment, drug treatment and follow‑up of small bowel CD, and formulated relevant recommendations, so as to standardize the diagnosis and treatment process of small bowel CD and improve the prognosis of patients.