社区内镜医生识别状多重症综合征的频率
Connor D McWhinney1, Rachel E Lahr1, Douglas K Rex1
1Division of Gastroenterology/Hepatology, Indiana University School of Medicine, Indianapolis, United States.
状多综合征 (SPS) 经常被社区内镜医生诊断不足. 这种低诊断可能导致错过早期干预的机会,并可能增加受影响个体的结肠直肠癌风险.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 在瘤学瘤学.
背景情况:
- 状多重症综合征 (SPS) 是最常见的结直肠多重症综合征.
- 现有的数据表明,SPS在社区环境中往往被诊断不足.
研究的目的:
- 在转诊到第三级护理中心之前,通过社区内镜医生确定状多综合征诊断的频率.
- 评估延迟诊断对患者结果的影响.
主要方法:
- 对212名SPS患者的前性收集数据库的回顾性分析,这些患者被转移到第三级学术医院.
- 对患者病历的审查,以确定社区内镜师的先前SPS诊断.
主要成果:
- 只有11.8%的转诊患者有先前的诊断或怀疑多重症综合征;只有5.7%的患者得到了特定的SPS诊断.
- 39名患者 (17.3%) 符合基于先前切除的SPS标准,但没有被转诊医生诊断出来.
- 大多数SPS诊断是在审查切除的病变后在三级中心进行的.
结论:
- 状多样性综合征仍然是社区内镜医生明显低诊断的.
- SPS的低诊断可能会导致受影响患者的结肠镜后结肠直肠癌的发展.
- 在初级保健机构中改善SPS的识别和诊断对于及时管理和癌症预防至关重要.
更多相关视频
05:58Digital Polymerase Chain Reaction Assay for the Genetic Variation in a Sporadic Familial Adenomatous Polyposis Patient Using the Chip-in-a-tube Format
Published on: August 20, 2018
03:05Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors
Published on: February 16, 2024
相关概念视频
Barrett Esophagus-I: Introduction
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
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...
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Endoscopic Procedures II: Colonoscopy
Endoscopic Procedures V: ERCP
Patient...
