在重复监测结肠镜检查中切换内镜师的有效性:一项回顾性研究
Naoya Okada1,2, Jun Arimoto1, Takanori Nishiguchi1
1Department of Gastroenterology, Omori Red Cross Hospital, 4‑30‑1, Chuo, Ota-Ku, Tokyo, 143‑8527, Japan.
在不同的内镜师进行重复结肠镜检查,可以显著改善错过的结肠直肠病变的检测. 这一策略提高了监测结肠镜的有效性,并降低了结肠直肠癌死亡率.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠癌查 结肠直肠癌查
背景情况:
- 监测结肠镜对于降低结肠直肠癌死亡率至关重要.
- 由于技术的差异,初始结肠镜检查期间可能会出现错过的病变.
- 个人内镜师的表现可能会影响病变检测率.
研究的目的:
- 评估由不同的内镜科医生进行的重复结肠镜检查的有效性.
- 为了比较相同和不同的内镜组之间的遗漏病变检测率 (MLDR).
- 为了确定影响重复结肠镜检测遗漏病变检测的因素.
主要方法:
- 从2018年1月到2021年6月,对205次重复结肠镜的回顾性分析.
- 患者分为两组:不同的内镜医生 (D组) 和相同的内镜医生 (S组).
- 组D和组S之间的MLDR的比较.
主要成果:
- 在D组 (61.8%) 与S组 (31.1%) 相比,MLDR显著更高.
- 遗漏病变检测的独立预测因素包括由不同的内镜师进行检查 (OR, 3.38) 和足够的退出时间 (>6分钟) (OR, 3.10).
结论:
- 与不同的内镜师进行重复结肠镜检查显著改善了错过的病变检测.
- 建议在第二次结肠镜检查中使用不同的内镜医生,以提高诊断产量.
- 优化结肠镜技术,包括抽出时间,对于减少遗漏病变至关重要.
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