小肠粘膜异常使用视频囊内镜在肠道淋巴管切除症
Lin Lin1, Kuiliang Liu1,2, Hong Liu1
1Department of Gastroenterology, Beijing Shijitan Hospital, Capital Medical University, Haidian District, Beijing, China.
视频囊内镜 (VCE) 在患有肠道淋巴管切除症 (IL) 的患者中显示出明显的小肠异常. 在VCE期间观察到的白色小与淋巴泄漏的检测率更高有关.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 罕见疾病 罕见疾病
背景情况:
- 肠道淋巴管切除症 (IL) 是一种罕见的蛋白质损失性肠病,源于淋巴系统疾病.
- 现有的关于IL中VCE发现的文献有限,主要由病例报告和系列组成.
研究的目的:
- 在IL患者中描述小肠粘膜异常的VCE发现.
- 探索IL的临床和VCE特征之间的相关性.
主要方法:
- 一个追溯分析连续IL患者接受VCE.
- 根据VCE发现,将病例分为"白色"和"非白色"组.
- 分析这些群体内的临床和内镜特征.
主要成果:
- 包括98名IL患者,58.2%的患者呈现白色小,41.8%的患者呈现非白色小.
- 白色小群体的胆胸部发病率明显较低 (p=0.008).
- 淋巴泄漏在白色小群中更频繁地检测到 (31.6%对12.2%,p=0.026).
结论:
- VCE有效地可视化IL中的小肠粘膜异常.
- IL表现出超出经典内镜发现的特定VCE异常.
- VCE发现,特别是白色小,可能与特定的并发症相关,如淋巴泄漏.
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