亚太地区的儿科胃肠内镜:诊断和治疗技术的最新进展
James Guoxian Huang1,2, Pornthep Tanpowpong3
1Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore 119228, Singapore.
World journal of gastroenterology
|June 5, 2023
概括
亚太地区的儿科胃肠道内镜显示出不断发展的趋势,炎症性肠道疾病和胃食道逆流疾病的诊断增加. 它的诊断价值必须考虑区域疾病流行率和先进技术的有用性.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 胃肠内镜检查 胃肠内镜检查
- 亚太卫生健康亚太地区
背景情况:
- 儿科胃肠道学已经取得了重大进展,内镜是关键的诊断和治疗工具.
- 关于儿科肠道内镜的实用性和结果,特别是在亚太地区,文献有限.
- 新出现的疾病,如炎症性肠病 (IBD) 和eosinophilic GI疾病越来越多地通过内镜诊断.
研究的目的:
- 审查亚太地区儿童肠道内镜的实用性和临床结果的现有文献.
- 为了将内镜的诊断价值与特定区域的儿科肠道疾病患病率联系起来.
- 突出趋势,挑战和先进内镜技术在儿科护理中的作用.
主要方法:
- 关于亚太地区儿童肠道内镜的已发表研究的文献综述.
- 对诊断趋势的分析,包括IBD,胃食道逆流病和胃肠道出血.
- 评估治疗内镜的应用和先进的技术,如囊内镜.
主要成果:
- 趋势表明IBD和GERD相关并发症的诊断越来越多,胃肠道出血发生率下降.
- 在某些地区,Helicobacter pylori感染,包括多种耐药菌株,仍然普遍存在.
- 像囊内镜和气球辅助肠镜等先进技术正在获得吸引力,特别是在东亚.
结论:
- 亚洲儿童肠道内镜的诊断价值需要考虑当地的疾病模式,例如H. pylori的流行率.
- 虽然功能性胃肠道疾病很常见,但内镜的产量应根据警报症状进行评估.
- 坚持实践标准和意识到不断变化的内镜趋势对于亚洲的儿科胃肠道科医生至关重要.
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