视频囊内镜和设备辅助肠镜在非出血小肠病变中的临床影响
Matilde Topa1, Nicoletta Nandi1, Lucia Scaramella2
1Department of Pathophysiology and Transplantation, Università degli studi di Milano, Milan, Italy.
Therapeutic advances in gastroenterology
|July 12, 2023
概括
视频囊内镜 (VCE) 和双气球内镜 (DBE) 在除小肠出血 (OSBB) 怀疑之外的其他迹象上是有效的. 这些程序的诊断产量和安全性与它们在疑似小肠出血 (SSBB) 病例中的使用相似.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 小肠诊断 小肠诊断
背景情况:
- 在文献中缺乏关于视频囊内镜 (VCE) 和双气球内镜 (DBE) 的研究,除了小肠出血 (OSBB) 的怀疑之外的其他迹象.
- 这项研究调查了VCE和DBE在OSBB患者的大型单心队列中的临床影响和诊断产量.
研究的目的:
- 评估VCE和DBE在OSBB患者的临床影响.
- 为了比较OSBB中VCE和DBE的诊断产量 (DY) 和安全性,与疑似小肠出血 (SSBB) 患者相比.
主要方法:
- 连续接受VCE和/或DBE的OSBB患者的回顾性队列研究 (2001年3月至2020年7月).
- 收集的数据包括人口统计,临床参数,技术方面和不良事件.
- 诊断产量是主要的结局指标,患者按症状分类:乳病,克罗恩病 (CD),瘤和持续的胃肠道症状.
主要成果:
- 总共进行了611次VCE和387次DBE的OSBB,主要用于复杂的腹腔疾病和克罗恩病.
- 总体诊断产量为VCE的53%,DBE的61.7%,与SSBB患者相比没有显著差异.
- 在OSBB和SSBB患者中,VCE和DBE之间没有观察到诊断产量或安全性的统计差异. 在两组中,技术之间的一致性都很差.
结论:
- 视频囊内镜 (VCE) 和双气球肠镜 (DBE) 是OSBB的有效和安全的诊断工具.
- 在OSBB中VCE和DBE的作用和性能与它们在疑似小肠出血 (SSBB) 中的既定用途相似.
- 进一步的研究可能会探索优化这些内镜技术在多样化的OSBB患者群体中的使用.
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