从食道食物冲击到内镜和不良事件之间的时间之间的关联
Walker D Redd1, Justin D McCallen1, Zeyun Xue1
1Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Gastrointestinal endoscopy
|November 11, 2023
概括
对于食道食物冲击 (EFI) 的紧急内镜可能不需要. 研究发现EGD的时间和不良事件之间没有联系,这表明时间可以灵活.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 患者安全 患者安全
背景情况:
- 目前的指导方针建议紧急或紧急的食道胃管腺视镜 (EGD) 用于食道食物冲击 (EFI).
- 关于EGD时间对EFI患者不良事件风险的影响的数据有限.
研究的目的:
- 为了确定食道食物冲击 (EFI) 和食道胃管腺镜 (EGD) 之间的时间间隔是否与不良事件有关.
- 根据不良事件发生率,评估EFI出现EGD的必要性.
主要方法:
- 188名内镜确诊EFI患者的回顾性队列研究.
- 不良事件 (食管和食管外) 和严重的不良事件被分类.
- 多变量后勤回归分析了EFI-to-EGD时间和不良事件之间的关联.
主要成果:
- 12%的患者经历了不良事件,1%有严重的不良事件.
- 在多变量分析中,EFI-to-EGD时间与不良事件没有显著关联.
- 老年患者和食道运动障碍患者的不良事件发生率较高.
结论:
- 从食道食物冲击 (EFI) 到食道胃肠透镜 (EGD) 的时间与不良事件无关.
- 对于EFI而言,新出现的EGD可能是不必要的,允许基于其他临床因素的灵活时间安排.
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