基于办公室的无镇静的过鼻食管胃管腺镜与使用一次性胃镜的活检:一个儿科单一中心的经验
Yamen Smadi1, Jessina Thomas2, Khaled Bittar2
1Eosinophilic Esophagitis Center Arnold Palmer Hospital for Children, Orlando Health Orlando Florida USA.
JPGN reports
|March 28, 2024
概括
使用一次性胃镜的无镇静性鼻经内镜 (TNE) 有效地监测儿科患者的异性食道炎 (EoE). 这种基于办公室的方法与虚拟现实相结合,证明了诊断活检的安全性和成功性.
科学领域:
- 胃肠病学 胃肠病学
- 儿科内镜术 儿科内镜术
- 埃索诺菲尔性食道炎研究研究
背景情况:
- 对于性食道炎 (EoE) 的传统食道胃管腺镜 (EGD) 通常需要镇静.
- 透鼻内镜 (TNE) 为评估EoE提供了一个不那么侵入性的替代方案.
- 基于办公室的程序可以改善患者的访问,并降低医疗保健成本.
研究的目的:
- 在办公室环境中使用一次性胃镜评估无镇静过鼻EGD (TN-EGD) 的疗效和安全性.
- 评估TNE与虚拟现实 (VR) 的实用性,用于监测儿科EoE.
- 为了确定通过穿鼻途径获得足够的活检的可行性.
主要方法:
- 8名儿科患者的回顾性审查,这些患者在办公室接受了无镇静的TNE,并提供局部止痛和VR.
- 用一个无菌的,一次性使用的,超薄的胃镜 (3.5毫米的OD,110厘米长) 用于TNE.
- 收集了有关手术成功,时间,活检充分性和并发症的数据.
主要成果:
- 100%成功地将内镜通过鼻子进入胃; 87.5%进入十二指肠.
- 在所有患者中从食道中获得足够的活检; 在5.胃/十二指肠.
- 在程序期间没有报告任何重大不良事件.
结论:
- 办公室的TN-EGD与VR和一次性胃镜是有效的监测儿科EoE,胃炎和十二指肠炎.
- 这种无镇静的方法为儿童的内镜评估提供了一种安全而成功的方法.
- 透鼻内镜显示出作为传统EGD可访问的替代方案的前景.
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