同时进行内镜检查和结肠镜检查对消化不良患者组织病理学发现的混影响:一项嵌套病例控制研究
1General Surgery Department, Health Science University, Istanbul Kartal Lutfu Kırdar City Hospital, Istanbul, Turkey. gokalp.okut@gmail.com.
对于消化不良患者,同时进行食管胃管腺镜检查 (EGD) 和结肠镜检查不会改变关键的组织病理学发现. 这种综合方法对于诊断上下胃肠道疾病是安全有效的.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 组织病理学 组织病理学
背景情况:
- 对于特定的消化不良患者群体,建议进行食管胃管腺镜检查 (EGD).
- 结肠镜检查适用于较低的胃肠道问题.
- 同时内镜可以提高诊断效率.
研究的目的:
- 评估EGD和结肠镜同时对病原学发现的影响.
- 评估同时执行这两种程序的安全性和有效性.
主要方法:
- 一项对102名同时接受EGD和结肠镜检查的患者 (CC组) 与146名单独接受EGD的患者 (EA组) 的比较研究.
- 用悉尼系统分析了胃活检,以检测H. pylori,炎症,中性友好活性,肠道代谢和淋巴结合物.
主要成果:
- 两组之间H. pylori阳性 (p=0.521) 或肠道代谢 (p=0.531) 没有显著差异.
- 在EGD单独治疗组中,炎症 (p=0.023),中性友活性 (p=0.013) 和淋巴结合物存在率 (p=0.046) 略高一些.
- 没有报告任何虚假阳性结果.
结论:
- 在消化不良患者中同时进行EGD和结肠镜检查,可与单独的手术产生相似的组织病理学结果.
- 这种综合方法不会影响上部胃肠道疾病的诊断准确性.
- 双向内镜是一种可行的选择,而不会影响治疗决策.
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