在食管胃二透镜和结肠镜检查后保留活检标本的发生率
Gregory Toy1, Keegan Colletier1, Gillian Hale1
1Gastroenterology, University of Utah, Salt Lake City, United States.
Endoscopy international open
|August 24, 2023
概括
在胃肠内镜辅助通道和盖子中保留样本是常见的,在48%的手术中发生. 这凸显了提高质量的必要性,以防止丢失的活检和确保准确的诊断.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
- 病理学 病理学 病理学
背景情况:
- 胃肠内镜中的活检样本可能会在通过辅助通道和盖子过渡时丢失.
- 了解样本保留对于准确的诊断产量至关重要.
研究的目的:
- 为了确定在胃肠内镜检查期间,活检样本在辅助通道或盖子中保留的发生率.
- 为了确定与样本保留相关的程序特征.
主要方法:
- 在获得活检后,使用标准化的协议来检查,刷,灌辅助通道和盖子.
- 还评估了没有活检的控制程序.
- 所有获取的标本都接受了病理学检查.
主要成果:
- 在48%的手术中发现了样本保留 (50/105).
- 保持发生在顶部 (19%),通道 (5.7%) 或两者 (23%).
- 在食管胃管腺镜检查 (EGD) 中,保留比结肠镜检查更频繁 (58%对36%,P=0.031).
结论:
- 活检样本的保留是胃肠内镜检查中经常出现的问题.
- 保留的标本可能会影响诊断和患者管理.
- 需要采取质量改善举措和预防方法.
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