在经过磁控囊内镜检查后,有风险的患者需要通过常规胃镜进一步检查
Ting Ting Wu1, Meng Yu Zhang1, Nian Di Tan1
1Department of Gastroenterology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong Province, China.
Journal of digestive diseases
|September 8, 2023
概括
磁辅助囊内镜 (MCCE) 是有效的胃检查. 通过MCCE发现的胃肠道症状或焦点病变的患者更有可能需要随访胃镜检查.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜检查是指内镜检查.
背景情况:
- 传统的胃镜是胃肠道问题的标准诊断工具.
- 磁性辅助囊内镜 (MCCE) 为可视化消化道提供了一个不那么侵入性的替代方案.
- 在症状和无症状患者之间比较MCCE后的后续检查需求对于优化诊断途径至关重要.
研究的目的:
- 为了比较在磁性辅助囊内镜 (MCCE) 后一年内进一步进行常规胃镜检查的患者与没有胃肠道症状的患者之间的比率.
- 确定影响MCCE后随访胃镜决定的因素.
主要方法:
- 这是一项追溯性研究,涉及744名患者 (372名患有胃肠道症状,372名无症状),他们接受了MCCE.
- 倾向性得分匹配用于平衡患者组.
- 在一年内对人口统计数据,MCCE发现和随后的常规胃镜进行分析.
主要成果:
- 总体而言,6.85%的患者在MCCE后需要进行后续胃镜检查.
- 与无症状患者 (3.76%) 相比,患有胃肠道症状的患者更有可能接受随访胃镜检查 (9.95%).
- 在MCCE期间发现的焦点病变与更高的随访胃镜率有关.
结论:
- 磁性辅助囊内镜 (MCCE) 作为胃检查的最佳替代方案,特别是用于查无症状个体.
- 患有胃肠道症状或MCCE检测到的焦点病变的患者更有可能接受常规胃镜检查以进行活检或治疗.
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