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在接受小肠和结肠囊内镜检查的患者的肠道制备中口香糖的影响:系统性综述与元分析
Sofie Sajan Jensen1, Ulrik Deding2,1, Lea Østergaard Hansen1
1Department of Surgery, Odense University Hospital, Odense, Denmark.
Endoscopy international open
|July 11, 2024
概括
牙并没有显著改善小肠囊内镜 (SBCE) 或结肠囊内镜 (CCE) 的完成率. 虽然安全,但需要更多的研究来确认其在促进囊检查成功方面的有效性.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 在囊内镜检查过程中,完全可视化取决于适当的肠道准备和成功过渡.
- 小肠囊内镜 (SBCE) 和结肠囊内镜 (CCE) 是关键的诊断工具.
研究的目的:
- 系统地审查和元分析口香糖对SBCE和CCE完成率的影响.
- 为了评估口香糖在增强肠道准备囊内镜的作用.
主要方法:
- 在主要数据库 (PubMed,Cochrane,Web of Science,Embase) 进行系统的文献搜索.
- 包括四个随机对照试验 (3个SBCE,1个CCE) 进行元分析.
- 包括的研究的质量评估和偏见评估.
主要成果:
- 用口香糖完成SBCE的综合完成率为91%,而没有口香糖的SBCE完成率为85%,这一差异在统计学上并不显著.
- 由于数据不足,无法计算汇集的运输时间估计.
- 口香糖仅在一个CCE和一些SBCE研究中作为辅助剂使用.
结论:
- 口香糖在囊内镜手术中显示出有利的安全性.
- 目前的证据并不强烈支持口香糖在改善SBCE或CCE完成率方面的有效性.
- 需要进一步的前性随机对照试验来最终评估口香糖的有效性.
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