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在第二次结肠镜检查中,ENDOANGEL改善了错过的结肠直肠腺瘤的检测:一项回顾性研究

Yundong Wang¹, Chiyi He

¹Department of Gastroenterology, Yijishan Hospital of Wannan Medical College, Wuhu, Anhui, People's Republic of China.

|July 12, 2024

概括

与标准结肠镜相比,Endoangel (EN) 辅助结肠镜在第二次手术中显示了较高的腺瘤错误率 (AMR). 然而,EN辅助检查更好地检测出以前错过的腺瘤,这表明监测得到了改进.

科学领域:

胃肠病学胃肠病学
医疗成像医学成像
内镜检查是指内镜检查.

背景情况:

使用计算机辅助技术可以提高结肠直肠腺瘤检测率.
在后续结肠镜检查期间,ENDOANGEL (EN) 对识别遗漏腺瘤的有效性尚未得到充分证实.

研究的目的:

为了在后续设置中比较EN辅助和标准结肠镜之间的腺瘤错误率 (AMR).
评估EN辅助结肠镜在检测最初检查期间遗漏的腺瘤方面的有效性.

主要方法:

六个月内接受第二次结肠镜检查 (EN辅助或标准) 的患者的回顾性分析.
两组抗菌药物耐药性的比较,并进行多变量分析以调整混因素.

主要成果:

与标准组 (11.9%) (P=.005) 相比,EN辅助组的AMR显著更高 (24.3%).
多变量分析表明,EN辅助结肠镜能够更好地检测遗漏的腺瘤 (OR=2.89;P=.029).

结论:

ENDOANGEL (EN) 辅助结肠镜显示了改善错过结肠直肠腺瘤检测的潜力.
整合EN辅助结肠镜可以通过减少监测结肠镜中错过的病变来改善患者护理.

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