机动螺旋肠镜检查:在用于新诊断时的有效性.
H Colin1, A Donati2, L Monino1
1Cliniques universitaires Saint-Luc, Gastroenterology and Hepatology, Brussels, Belgium.
机动螺旋肠镜 (PSF-1) 显示出潜在的不太常见的指示,如胃后绕道内镜和肠镜辅助ERCP. 虽然这些次要用途的技术成功率较低,但不良事件仍然很小.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术创新 在外科创新.
背景情况:
- 机动螺旋肠镜是建立在前级和后级程序.
- 它在不太常见的临床场景中的实用性仍然在很大程度上未被探索.
研究的目的:
- 确定和评估PSF-1电动螺旋肠镜的新指标.
- 评估PSF-1在次要,不那么传统的应用中的可行性和结果.
主要方法:
- 从2020年1月到2022年12月接受PSF-1肠镜检查的115名患者的回顾性分析.
- 对PSF-1使用的常规和二次适应症之间的结果比较.
主要成果:
- 41%的PSF-1手术是针对次要指示的,包括输入镜辅助ERCP (22%) 和Roux-en-Y后胃绕道内镜 (7%).
- 二次性适应症的技术成功率 (72.5%) 明显低于常规性适应症的技术成功率 (98-100%,p<0.001).
- 轻微的不良事件发生在15%的患者中,所有患者都进行了保守的治疗.
结论:
- 电动螺旋肠镜PSF-1对于完成结肠镜检查,进入被排除的胃,在改变的解剖学中进行肠镜辅助ERCP等次要指示是有效的.
- 虽然在这些新型应用中技术上的成功减少了,但该程序只与轻微的不良事件有关.
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