胃腺瘤的临床特征在韩国检测阴性查内镜后3年内检测到
1Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea.
Gastroenterology report
|July 6, 2023
概括
早期发现胃腺瘤对于预防胃癌至关重要. 胃肠道转化和缩短内镜观察时间是查期间错过胃腺瘤的关键预测因素.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内镜检查是指内镜检查.
背景情况:
- 早期发现和治疗胃腺瘤对于预防胃癌至关重要.
- 查内镜在识别胃腺瘤方面发挥着关键作用.
- 识别错过的胃腺瘤的预测因素可以提高早期检测率.
研究的目的:
- 在韩国查内镜检查期间评估错过胃腺瘤的预测因素.
- 为了确定与间隔前癌性胃病变相关的危险因素.
- 提高胃癌预防策略的有效性.
主要方法:
- 通过查内镜 (2007-2019) 诊断的295例胃腺瘤病例的回顾性审查.
- 纳入标准:在3年内接受内镜检查的患者.
- 错过的胃腺瘤的定义:在阴性查内镜检查后3年内诊断.
主要成果:
- 32.2%的胃腺瘤 (95/295) 被归类为错过的.
- 缺失胃腺瘤的独立风险因素包括胃肠道转化 (OR,2.736) 和指数内镜 (OR,0.990) 期间较短的观察时间.
- 检测胃腺瘤的最佳观察时间截止时间为3.53分钟 (AUC,0.738).
结论:
- 胃肠道转化是错过胃腺瘤的重要指标.
- 建议对胃粘膜进行仔细检查,特别是在患有胃肠转化症的患者中.
- 在内镜检查期间适当的观察时间可以降低缺失胃腺瘤的可能性.
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