沙特儿童接受大肠镜检查下胃肠道出血的疾病模式:单个三级保健中心的经验
Sami Alrashidi1, Tarig AlAmery2, Abdullah Alshanbary3
1Division of Pediatric Gastroenterology, Children's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
概括
结肠镜能有效地诊断沙特儿童下部胃肠道出血 (LGIB). 炎症性肠病 (IBD),结肠淋巴细胞增生 (CLNH) 和直肠粘膜形综合征 (RMPS) 是关键的发现.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠疾病 结肠直肠疾病
背景情况:
- 儿童下胃肠道出血 (LGIB) 存在诊断方面的挑战.
- 关于小儿LGIB结肠镜收益率的先前研究是有限的和过时的.
- 需要更新有关结肠镜检查在沙特LGIB儿童的诊断效果的数据.
研究的目的:
- 为了确定沙特儿科患者呈现LGIB的结肠镜的诊断产量.
- 为了确定不同儿科年龄组LGIB的常见原因.
- 评估结肠镜检查在儿童LGIB诊断中的准确性.
主要方法:
- 针对LGIB进行结肠镜检查的儿科患者 (0-14岁) 的回顾性分析.
- 2008年至2018年期间从法哈德国王医疗城 (KFMC) 收集的数据.
- LGIB被定义为直肠中的新鲜或深色血液.
主要成果:
- 对175名LGIB儿童进行了结肠镜检查,占所有儿科结肠镜检查的53.5%.
- 最常见的诊断是炎症性肠病 (IBD) (32%),结肠淋巴细胞增生 (CLNH) (17%),青少年多体 (11%),以及直肠粘膜外倒综合征 (RMPS) (11%).
- 结肠镜检查显示LGIB的诊断准确度很高 (97%的灵敏度,100%的特异性).
结论:
- 结肠镜是沙特阿拉伯儿科LGIB的高效诊断工具.
- IBD,CLNH和RMPS是儿童LGIB的重要原因,应该考虑.
- 该研究提供了有关结肠镜在该地区儿童LGIB管理中的作用的最新和有价值的数据.
相关概念视频
Assessment of the Rectum and Anus
268
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
268
Inflammatory Bowel Disease I: Ulcerative Colitis
213
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
213
Endoscopic Procedures II: Colonoscopy
132
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
132
Serum Laboratory Studies, Stool Test, Breath Test
375
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
375
Lower GI Series: Barium Enema
324
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
324
Chronic Bowel Disorders: Introduction
478
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
478


