服用抗血栓剂的小肠出血患者 - 小肠囊内镜的收益率和随后的管理
Sofi Damjanovska1, Daniel Karb2, Allen Chen3
1Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA. sofi.damjanovska@gmail.com.
小肠囊内镜 (SBCE) 在服用抗血栓药物患者诊断不清晰的胃肠道出血方面非常有效. 在住院期间执行SBCE可以提高这些人的诊断产量.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 内部医学 内部医学
背景情况:
- 小肠胃肠道出血 (GIB) 显著影响患者的生活质量和医疗保健资源利用率.
- 抗血栓药物经常与小肠GIB的风险增加有关.
研究的目的:
- 在接受抗血栓治疗的患者中,确定小肠囊内镜 (SBCE) 的诊断产量.
- 评估SBCE对小肠GIB后续治疗疗程的影响.
主要方法:
- 对1986年接受SBCE的患者电子病历的回顾性审查.
- 基于抗血栓药物使用和住院患者与门诊患者的诊断产量的分析.
主要成果:
- 与未服用这些药物的患者相比,在服用抗血小板药物 (21.6%) 和抗凝剂 (22.5%) 的患者中,SBCE的诊断收益率更高,可检测出出血痕 (22.1%和13.5%).
- 住院患者SBCE的诊断收益率 (21.8%) 比门诊患者SBCE (12%) 高.
- 在25.2%的阳性病例中,SBCE的发现导致了进一步的内镜评估,在52.5%的病例中尝试了静血.
结论:
- SBCE对于评估疑似小肠出血至关重要,特别是在接受抗血栓治疗的患者中.
- 在住院期间执行SBCE可以提高该患者组的诊断能力.
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