在埃及接受胃肠道内镜手术的患者的临床和内镜特征:全国性的多中心研究
Mohamed Elbadry1, Fathiya El-Raey2, Mohamed Alboraie3
1Endemic Medicine Department, Faculty of Medicine, Helwan University, Ain Helwan, Cairo, 11795, Egypt.
BMC gastroenterology
|May 28, 2024
概括
这项大型埃及研究揭示了胃肠内镜使用和结果的显著区域差异. 慢性肝病严重影响上部内镜检查结果,而结肠镜检查结果表明需要提高结肠直肠疾病的认识.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 埃及面临着由慢性肝病 (CLD) 造成的大量负担,主要是与C型肝炎病毒 (HCV) 相关的,影响超过2.9%的人口.
- 脂肪性肝病是导致CLD的原因越来越多,特别是在城市地区,除了普遍存在的与酸有关的疾病.
- 这些情况在全国范围内显著影响胃肠内镜手术的指示和发现.
研究的目的:
- 为了评估经过胃肠内镜检查的埃及患者的临床人口统计数据.
- 分析埃及不同地区内镜手术的主要症状.
- 为了记录和比较内镜检查结果与患者人口统计和疾病患病率相关.
主要方法:
- 采用了一种回顾性,多中心,横截面的研究设计.
- 在埃及15个三级胃肠内镜单位收集了5910名患者的数据.
- 患者接受了食管胃管腺镜检查 (EGD) 或结肠镜检查.
主要成果:
- 消化不良,血和黑色素是最常见的EGD症状;门高血压的后果和与酸有关的疾病是常见的诊断.
- 血和来源不明的贫血是结肠镜的主要指示,炎症性肠病 (IBD) 和是普遍的诊断.
- 观察到区域差异,男性性别,年龄较大,上埃及更常见的CLD;10.44%的EGD和18.21%的结肠镜显示正常发现.
结论:
- 这项综合性研究强调了影响肠道内镜利用和埃及结果的疾病负担的显著区域差异.
- 慢性肝病的高患病率大大影响了上部肠道内镜检查的结果.
- 结肠镜检查结果表明,急需提高公众和临床对结肠直肠疾病的认识.
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