腹部压缩对单气球肠镜总速率的影响:一项随机对照试验
Fang-Bin Zhang1, Jin-Ping Zhang1, Yang-Qiu Bai2
1Department of Gastroenterology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Mayo Clinic proceedings
|November 3, 2023
概括
腹部压缩显著提高单气球肠镜术 (SBE) 的成功率. 这种技术提高了整体肠镜检查的完成率,特别是对于没有先前腹部手术或肠狭窄症的患者.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
- 内镜手术 进行内镜手术
背景情况:
- 单气球肠镜 (SBE) 是小肠检查的一个有价值的工具.
- 优化SBE手术成功,特别是实现全肠镜,仍然是临床兴趣的领域.
研究的目的:
- 为了确定在SBE期间施加腹部压缩是否会提高全肠镜检查的速度.
- 调查影响SBE手术中全肠镜成功的因素.
主要方法:
- 一项前性随机研究,涉及200名在两个机构接受SBE的患者.
- 患者被分配到腹部压缩组或非腹部压缩组.
- 两组之间的总肠镜检查率进行了比较,对有或没有先前腹部手术或小肠狭窄症的患者进行了亚组分析.
主要成果:
- 在腹部压缩组 (73%) 的总输入镜率明显高于非压缩组 (16%) 的总输入镜率 (P<.001).
- 腹部压缩独立地与实现全肠镜检查的更高可能性有关 (OR,16.68;P<.001).
- 在压缩组 (P<.001) 中,以前经历过腹部手术或小肠狭窄的患者的全肠镜检查率 (47%) 与没有 (84%) 的患者相比较低 (P<.001).
结论:
- 腹部压缩是一种有效的方法,可以在SBE手术期间显著增加整体肠镜率.
- 在有腹部手术或小肠狭窄病史的患者中,完成完整的全肠镜检查可能更具挑战性.
更多相关视频
10:31Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
12.8K
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
509
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
95
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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...
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...
95
01:23Lower GI Series: Barium Enema
292
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...
292
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
89
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit 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...
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...
89
01:25Endoscopic Procedures II: Colonoscopy
108
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:
108