一个难以准备的患者的程序内肠道清洁系统 - 一个多中心的前性可行性研究
Milou L M van Riswijk1, Kelly E van Keulen1, Helmut Neumann2,3
1Department of Gastroenterology and Hepatology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
United European gastroenterology journal
|January 12, 2024
概括
一种程序内肠道清洁系统 (BCS) 显著改善了前科肠道准备不足的患者的结肠镜准备. 这种新的系统实现了88.6%的充分准备率,提高了程序的成功率.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 医疗器械 医疗器械
背景情况:
- 在多达20%的结肠镜检查中,肠道的准备不足,影响了诊断的准确性.
- 不足够的准备与失败的脑管道输入有共同的风险因素,需要改进策略.
- 以前肠道准备不足的患者在结肠镜检查中构成一个特殊的挑战.
研究的目的:
- 评估一个程序内肠道清洁系统 (BCS) 的可行性.
- 为了评估BCS有效性,在有过不充分的肠道准备病史的患者.
- 为了确定BCS对结肠镜检查结果和安全性的影响.
主要方法:
- 一项涉及44名有肠道不充分准备病史的患者的研究.
- 进行有限的初始准备,然后用BCS进行程序内清洗.
- 主要结局:充分的肠道准备 (波士顿肠道准备量表);次要结局:内输管,手术时间,可用性,安全性.
主要成果:
- 平均波士顿肠道准备量表得分显著改善 (p < 0.0001),充足的准备量从 31.8% 增加到 88.6%.
- 在完成的手术中,Cecal输管率为88.6%,完成手术的充分清洗率为97.5%.
- BCS表现出良好的可用性 (中位数为4/5) 和良好的安全性,没有严重的不良事件.
结论:
- 在高风险患者中,程序内BCS有效地实现了充分的肠道清洁.
- 这种系统可以减少重复结肠镜检查和相关的医疗保健利用率.
- 由于这种患者群体的潜在解剖学复杂性,建议仔细选择患者.
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