一天与三天的低残留饮食肠道准备方案在结肠镜检查之前:随机对照试验的元分析
Fan Wang1, Xinxin Huang1, Zhijie Wang1
1Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai, China.
Journal of gastroenterology and hepatology
|January 22, 2024
概括
一天的低残留物饮食 (LRD) 与三天的LRD在结肠镜检查中一样有效. 这种更短的持续时间显著提高了患者的耐受性,使其成为大多数人更喜欢的选择.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 饮食干预 饮食干预
背景情况:
- 肠道准备的质量对于有效的结肠镜检查至关重要.
- 低残留饮食 (LRD) 是清洁液体饮食 (CLD) 的替代品,用于肠道准备.
- 对于肠道准备的LRD的最佳持续时间尚不清楚.
研究的目的:
- 为了比较1天与3天LRD的疗效和耐受性,用于在结肠镜检查之前的肠道准备.
主要方法:
- 系统审查和随机对照试验 (RCT) 的元分析,发表至2023年4月.
- 包括的研究比较了1天和3天的LRD疗法.
- 评估结果包括肠道准备的充分性,多/腺瘤检测率,耐受性和不良事件.
主要成果:
- 一天的LRD显示了与3天的LRD (OR 0.89;95% CI,0.65-1.21) 相比的肠道准备质量.
- 在1天和3天LRD组之间,多和腺瘤检测率相似.
- 随着1天的LRD (OR 1.64;95%CI,1.13-2.39) 观察到显著更高的耐受性.
- 便秘被确定为肠道准备不足的独立预测因素 (OR 1.98;95% CI,1.27-3.11).
结论:
- 一天的LRD和3天的LRD对结肠镜肠道准备一样有效.
- 一天的LRD疗法显著改善了患者的耐受性.
- 便秘是肠道准备不良的一个危险因素;对于便秘患者的LRD持续时间,需要进一步的试验.
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