腹手术候选人的上胃肠内镜查:将结果与GERD症状相关联
Seyed Ali Ebrahimi1, Elahe Karazhian2, Narges Mesbah1
1Student Research Committee, Faculty of Medicine, Mashhad Medical Sciences, Islamic Azad University, Mashhad, Iran.
Obesity surgery
|July 19, 2024
概括
精力衰竭手术候选人的常规预手术食道胃二透镜 (EGD) 与胃食道逆流症 (GERD) 症状没有可靠的相关性. EGD发现与GERD症状无关,这表明基于病例的方法可能更合适.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 内镜检查是指内镜检查.
背景情况:
- 在减肥手术候选人中,常规的手术前食道胃二透镜 (EGD) 的实用性仍然是争论的主题.
- 这项研究旨在评估EGD发现与患者报告的胃食道逆流病 (GERD) 症状之间的关联.
研究的目的:
- 为了比较手术前的EGD结果与患者报告的GERD症状.
- 为了确定基于病例的EGD方法对减肥手术候选人的适当性.
主要方法:
- 一项前性队列研究对165名减肥手术候选人进行.
- 患者接受了EGD并填写了与GERD健康相关的生活质量 (GERD-HRQL) 调查问卷.
- 患者被分为症状 (GERD-HRQL > 0) 和无症状 (GERD-HRQL = 0) 的两组.
主要成果:
- 在24.8%的患者中发现食管炎;在症状和无症状组之间没有显著差异.
- 间歇性,胃炎和H. pylori感染的频率在不同组之间没有显著差异.
- GERD-HRQL得分是食道炎的不良预测指标,AUC值在总得分和子尺度下低于0.6.
结论:
- 腹部手术候选人的手术前EGD发现与报告的GERD症状没有显著的关联.
- 基于病例的EGD策略,而不是常规查,可能更适合这种患者群体.
相关概念视频
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