机动动力螺旋肠镜 (MSE):需要对上食道 (UES) 进行例行清洁吗?
Alok Kumar Singh1, Siddharth Srivastava1, Ujjwal Sonika1
1Gastroenterology and Hepatology, G.B. Pant Hospital, New Delhi, IND.
Cureus
|February 16, 2024
概括
常规的上食道 (UES) 球扩张可能是不必要的,在每口电动动力螺旋肠镜 (MSE) 之前. 这项研究发现,在没有先前UES扩张的情况下,MSE是可行的和安全的,实现了高的成功率和诊断率.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
背景情况:
- 通过口腔机动动力螺旋肠镜 (MSE) 传统上涉及食道上 (UES) 的常规导线导向清洁.
- 对于MSE而言,这种程序前步骤的必要性已受到质疑.
研究的目的:
- 评估前级MSE的可行性和安全性,没有先前的UES布吉扩张.
- 为了确定是否需要常规UES扩张成功的MSE.
主要方法:
- 对20名接受前期MSE治疗的患者进行各种适应症的回顾性分析.
- 评估技术成功率 (TSR),诊断产量和不良事件 (AE).
- 结局的比较与没有先前的UES布吉扩张.
主要成果:
- 在20名患者中的16名患者中,在没有事先布吉扩张的情况下,在整个UES中成功进行了MSE.
- 螺旋肠镜不能仅在一个患者中进行谈判,需要布吉扩张.
- 技术成功率为100%,诊断收益率为80%,有4名患者报告了AEs.
结论:
- 前级MSE显示出良好的技术成功率和诊断产量.
- 在MSE之前,UES的常规扩张可能是一个不必要的步骤,提高程序效率.
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