相关实验视频
Updated: Jun 29, 2025

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
消化管胃管腺镜检查结果不解释食不适与低利用高分辨率计量仪相关
Sydney Pomenti1, John Nathanson1, Meaghan Phipps1
1Department of Medicine, Division of Digestive and Liver Diseases, Columbia University Irving Medical Center-New York Presbyterian Hospital, New York, NY, USA.
经过内镜检查后无法解释的消化不良症患者通常不会被转诊进行高分辨率食道测量仪 (HRM). 与失调无关的内镜发现降低了HRM转诊率,尽管运动障碍的患病率相似.
科学领域:
- 胃肠病学 胃肠病学
- 食道生理学 食道生理学
- 诊断测试 诊断测试 诊断测试
背景情况:
- 高分辨率食道测量 (HRM) 对于在上部内镜检查 (EGD) 结果不确时诊断缺食症至关重要.
- 在非诊断性EGD因失消症后,HRM转诊的预测因素需要调查.
研究的目的:
- 为了确定预测未能将患者转诊为HRM的因素,在EGD后没有解释食障碍.
- 评估这个患者群体中HRM使用的流行程度和诊断产量.
主要方法:
- 针对因失调而接受EGD的成年患者的回顾性队列研究 (2015-2021年).
- 排除 EGD 发现解释食障碍的患者.
- 主要结局:未能在非诊断EGD的1年内转诊HRM.
- 多变量后勤回归用于识别推失败的风险因素.
主要成果:
- 在1240名患有非诊断性EGD的患者中,只有11.9%在一年内接受HRM.
- 被认为可以解释缩症 (例如,缺口) 的内镜发现与减少HRM转诊 (aOR 0.45) 相关.
- 人力资源管理师诊断了食管胃节外流障碍 (29.7%) 和周围结障碍 (17.6%).
- 人口因素没有影响HRM推率.
结论:
- 患有消化不良和偶然的内镜发现的患者不太可能被转诊HRM.
- 这些患者的食道运动障碍的患病率与正常EGD患者的患病率相似.
- 需要增加提供者教育,以提高适当的失调症患者的HRM转诊率.
相关概念视频
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Upper GI Series: Barium Swallow
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.

