腹腔镜内镜 fundoplication 的评估:有改进的空间
Joseph J Fantasia1, Charles Cock2, David I Watson1
1Flinders Medical Centre, Flinders University Discipline of Surgery, College of Medicine & Public Health, Bedford Park, SA, 5042, Australia.
Surgical endoscopy
|November 30, 2023
概括
基复合的内镜评估显示,评价者之间的可靠性较低,上部胃肠道外科医生和胃肠科医生之间的报告有显著的变化. 推对经基因复制后内镜评估进行标准化报告.
科学领域:
- 胃肠病学 胃肠病学
- 手术内镜是指手术内镜.
背景情况:
- 胃食道逆流性疾病 (GERD) 在全球普遍存在.
- laparoscopic fundoplication 是一种有效的 GERD 治疗方法,但 5% 需要修复性手术.
- 内镜检查对于评估基因复合后症状至关重要.
研究的目的:
- 在内镜基因组复合评估中评估评估者之间的可靠性.
- 为了确定专家之间内镜报告的变化.
- 为了比较UGI外科医生和胃肠科医生之间的表现.
主要方法:
- 一项涉及101名澳大利亚上胃肠道 (UGI) 外科医生和胃肠病学家的队列研究.
- 参与者通过一个问卷分析了10张静态内镜图像.
- 收集关于准确性和评审者间可靠性的数据.
主要成果:
- 在UGI外科医生中,整体准确率为76%,在胃肠科医生中为69.9%.
- UGI外科医生在特定病例和包裹完整性评估中显示出明显更高的准确性.
- 在两个组的大多数域中观察到较低的inter-rater可靠性 (kappa < 1).
结论:
- 基复合的内镜评估表明,评价者之间的可靠性较低,报告的可变性很大.
- 在特定的评估,特别是包装完整性方面,UGI外科医生表现优于胃肠科医生.
- 通过这些发现,支持了对基因复合后内镜进行标准化报告系统.
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