肝硬化和门性高血压会使肠道对查 (结肠镜检查) 的准备情况恶化
Benjamin Gow-Lee1, John Gaumnitz1, Muatassem Alsadhan1
1Department of Internal Medicine, Spencer Fox Eccles School of Medicine.
Journal of clinical gastroenterology
|April 3, 2024
概括
肝硬化患者经历了更差的结肠镜准备和更长的手术时间. 非肥胖的肝硬化患者也减少了多体检测,需要定制的肠道准备策略.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 内镜检查是指内镜检查.
背景情况:
- 结肠镜检查的质量取决于适当的肠道准备.
- 肝硬化可能会对肠道准备质量产生负面影响.
研究的目的:
- 评估肝硬化和门高血压并发症对结肠镜检查准备和结果的影响.
- 评估肝硬化和非肝硬化患者之间的肠道准备质量和内镜测量差异.
主要方法:
- 一项对1464名接受门诊查结肠镜检查的患者进行匹配控制的回顾性研究.
- 包括患有肝硬化和没有肝硬化的患者,并对子组进行分析,但不包括肥胖患者.
主要成果:
- 肝硬化患者表现出较低的波士顿肠道准备量表 (BBPS) 分数和较长的内输管时间.
- 炎,肝脏脑病变和水出血与较长的内输管时间相关.
- 非肥胖的肝硬化患者的BBPS得分较低,内输管时间较长,多检测率降低了24%.
结论:
- 肝硬化与下肠准备和长时间的结肠镜持续时间有关.
- 门高血压并发症加剧了准备质量和输管时间.
- 严重的肝硬化或门高血压并发症需要采取积极的肠道准备方案.
相关概念视频
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
83
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
83
Endoscopic Procedures II: Colonoscopy
90
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
90
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
80
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
80
Inflammatory Bowel Disease I: Ulcerative Colitis
179
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
179
Assessment of the Rectum and Anus
208
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
208
Lower GI Series: Barium Enema
264
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
264


