肠道为结肠镜检查做好准备的观察者间变化
Hyun Jung Lee1, Bora Keum2, Young-Seok Cho3
1Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea.
哈尔菲尔德清洁量表 (HCS) 显示,内部和外部内镜师在评估肠道制备质量方面之间具有相当的观察者间可靠性. 然而,它的可靠性在左结肠可能是有限的.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 临床实践指南 临床实践指南
背景情况:
- 肠道准备尺度对于指导结肠镜检查过程至关重要,但往往缺乏一致的验证.
- 评估现有尺度的可靠性对于改善临床实践至关重要.
研究的目的:
- 在内部和外部内镜师之间评估Harefield清洁量表 (HCS) 的观察者间可靠性.
- 确定HCS在结肠镜检查期间评估肠道准备质量的有效性.
主要方法:
- 分析了一项涉及83个结肠镜视频的研究.
- 内部内镜师在手术过程中评估了肠道清洁,而外部内镜师则独立审查了视频录像.
- 科恩的卡帕系数被用来量化观察者之间的可靠性.
主要成果:
- 在使用HCS的内部和外部内镜师之间观察到公平的协议 (科恩的卡帕=0.39).
- 整体和高质量的肠道准备率是优秀的,在各组之间是可比的.
- 在下降结肠和西格结肠的分段分数中发现了轻微的一致性.
结论:
- HCS表现出相当可靠的观察者间可靠性,但在评估左结肠中的肠道准备时可能存在局限性.
- 需要对HCS进行进一步的验证,以获得一致的临床应用,特别是对左侧结肠片段.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
15:49Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
相关概念视频
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Endoscopic Procedures II: Colonoscopy
Lower GI Series: Barium Enema
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...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Assessment of the Rectum and Anus
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
