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小肠穿越扫描在患有儿科肠道伪阻塞的儿童中
Atchariya Chanpong1,2,3,4, Elizabeth Morris5,6, Lorenzo Biassoni5
1Neurogastroenterology and Motility Unit, Gastroenterology Department, Great Ormond Street Hospital for Children, London, United Kingdom.
The American journal of gastroenterology
|June 23, 2023
概括
小肠扫描 (SBS) 通过测量小肠穿越 (SBT) 有效地评估儿科肠道伪阻塞 (PIPO). 这种方法对于区分肌病性与神经病性PIPO特别有用,有助于诊断患有胃肠功能障碍的儿童.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 诊断成像 诊断成像 诊断成像
- 胃肠道运动障碍 胃肠道运动障碍
背景情况:
- 儿科肠道伪阻塞 (PIPO) 诊断依赖于小肠动性的客观证据.
- 小肠扫描 (SBS) 测量小肠穿行 (SBT),但对儿科数据有限.
- 评估SBS在怀疑胃肠道动力障碍的儿童中的实用性至关重要.
研究的目的:
- 评估小肠扫描 (SBS) 在疑似胃肠不运动的儿童的诊断效用.
- 评估SBS用于诊断和表征儿科肠道伪阻塞 (PIPO).
- 将PIPO患者的SBT与非PIPO患者进行比较,并与两腹肌计量 (ADM) 相对应.
主要方法:
- 对59名儿科患者 (2016-2022) 的回顾性分析,这些患者接受了SBT评估的扩展胃空化研究.
- 基于 antroduodenal manometry (ADM) 发现的PIPO分类.
- 在PIPO和非PIPO组之间比较SBS参数,包括6小时后的结肠填充.
主要成果:
- 与非PIPO患者相比,PIPO患者在6小时内显示出明显较低的结肠填充 (液体:48%与83%;固体:5%与65%).
- 小肠过渡 (SBT) 在肌病性PIPO与神经病性PIPO相比,在液体和固体食中显著较慢.
- 在固体SBT和ADM得分之间观察到显著的负相关性 (r = -0.638,P = 0.036).
结论:
- 小肠扫描 (SBS) 是评估儿科小肠运动性的可行方法.
- 在诊断和表征儿科肠道伪阻塞 (PIPO) 方面,SBS显示出潜在的实用性.
- 在分辨肌病性PIPO方面,SBS似乎最有效;需要在更大的儿科队伍中进行进一步的研究.
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