开放式食道胃管腺镜作为一个有效和安全的策略,为患有不令人担忧的症状的患者
Yu Bin Tan1, Chee Hooi Lim1, Noor Azlina Binte Johari1
1Gastroenterology and Hepatology, Singapore General Hospital, Singapore, SGP.
Cureus
|March 26, 2024
概括
开放式食道胃管内镜 (OAO) 为60岁以下的患者提供及时的诊断上部内镜. 这种安全有效的方法减少了医疗保健的使用,并允许在没有专家咨询的情况下进行更早的程序.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 医疗保健管理的管理
背景情况:
- 开放式食道胃管腺镜检查 (OAO) 绕过了专家咨询,直接进行内镜检查.
- OAO的目标是减少医疗保健的使用率,加快内镜手术的速度.
- 这项研究评估了OAO对于60岁以下患者的非警报性消化不良.
研究的目的:
- 评估OAO的安全性和有效性,用于患有非警报性消化不良症状的患者.
- 评估新加坡综合医院OAO的结果.
- 为了确定OAO对于特定患者的人口结构的可行性.
主要方法:
- 对从2019年1月到2022年12月接受OAO的患者记录的回顾性分析.
- 纳入标准:60岁以下的患者转诊OAO,患有不引起警觉的消化不良症状.
- 收集的数据包括患者人口统计,等待时间,手术发现和不良事件.
主要成果:
- 436名患者接受了OAO;平均年龄45.7岁;36%的男性.
- 内镜检查的平均等待时间为23天;没有报告重大不良事件.
- 在5.7%的患者中发现的主要发现,包括上部肠道腺癌,食道静脉瘤和胃潰瘍疾病. 13.4%的测试结果对H.pylori.呈阳性
结论:
- 在低风险患者中,OAO是及时诊断上部内镜的安全有效策略.
- 在60岁以下的患者中,初级保健医生应考虑OAO治疗非警报性消化不良.
- OAO简化了护理提供,并改善了患者获得基本诊断程序的机会.
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