粘度测试可以提高囊保留率,但代价是什么? 一个回顾性看待通透性测试的检查
Fintan O'Hara1,2, Caroline Walker2, Deirdre McNamara1,2
1Trinity Academic Gastroenterology Group (TAGG), Department of Medicine, Trinity College Dublin, Dublin, Ireland.
Frontiers in medicine
|August 25, 2023
概括
穿透性囊有助于评估囊内镜检查前的胃肠道穿透性,减少保留风险. 虽然不完美,但它是完美的.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
背景情况:
- 囊保留是囊内镜的重要并发症,其发生率因适应症而异.
- 改善患者选择和引入穿透性囊已经降低了报告的保留率.
- 穿透性囊是一种可溶性装置,用于在囊内镜检查之前评估小肠穿透性.
研究的目的:
- 在临床环境中评估穿透性囊评估的有效性和失败率.
- 确定成功穿透性评估对随后囊内镜保留率的影响.
主要方法:
- 在12个月的时间内,对穿透性囊程序进行了回顾性分析.
- 包括1,127名被转诊进行囊内镜的患者,其中166人正在接受通透性评估.
- 对透性囊失效率和与囊保留相关性的分析.
主要成果:
- 在1,127名患者中,有166名患者 (14.7%) 需要通过性评估.
- 在成功通过通透性评估的患者中,没有发生囊保留.
- 通过性评估的整体失败率为43.1%.
结论:
- 透囊是评估囊内镜检查前胃肠道透率的宝贵工具.
- 尽管有显著的失败率,但穿透性囊有助于预防症状囊保留.
- 在87.0%的病例中,通过性评估的适当指示得到了确认.
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