囊内镜在哪里适合小肠内的诊断算法?
Stefania Chetcuti Zammit1, Aman Yadav2, Deirdre McNamara2
1Division of Gastroenterology, Mater Dei Hospital, Msida MSD 2090, Malta.
概括
小肠囊内镜 (SBCE) 补充了放射学用于内肠接诊断. 这种安全的,非侵入性的测试有助于避免不必要的手术和重复成像,当初始结果是负的.
科学领域:
- 胃肠病学 胃肠病学
- 诊断成像 诊断成像 诊断成像
- 内镜检查是指内镜检查.
背景情况:
- 小肠 (SB) 内肠接诊断缺乏标准化的方法.
- 小肠囊内镜 (SBCE) 在调查SB内内的作用需要澄清.
研究的目的:
- 评估SBCE在诊断小肠内肠异常时的有用性.
- 了解SBCE与放射学调查相比的诊断产量.
主要方法:
- 追溯多中心研究包括95名在SBCE或先前放射性影像检测中确定的肠接患者.
- 分析SBCE发现与放射学调查 (CT等) 一起进行的分析. ) 的情况.
主要成果:
- 在22.5%的患者中,SBCE发现了解释肠接的异常.
- 在42.2%的放射性静脉吸收病例中,SBCE是正常的.
- 在SBCE阴性后重复放射学很少产生积极的结果 (14.1%).
- 在4.2%的患者中,SBCE发现了质量,导致手术.
结论:
- SBCE 作为一个有价值的辅助器,用于小肠内.
- 通过SBCE,可以最大限度地减少不必要的外科手术.
- 在阴性SBCE内肠接后进行进一步的放射学检查通常是无效的.
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