在高分辨率食道曼度检查中,对单脚或双脚抬起机动进行比较评估
Daniel S Rim1, Henry P Parkman1
1Gastroenterology Section, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA.
Neurogastroenterology and motility
|July 25, 2024
概括
在食道测量过程中,双腿提升机动比单腿提升更有效,可以增加腹腔内压力并检测缺口. 这种技术可以改善胃食道逆流性疾病的预测.
科学领域:
- 胃肠病学 胃肠病学
- 诊断程序 诊断程序 诊断程序
背景情况:
- 直腿升高 (SLR) 机动在食道测量过程中增加了腹内压力 (IAP).
- 为了执行SLR存在各种技术,对IAP产生不同的影响.
研究的目的:
- 为了比较在食道测量过程中单脚和双脚升高 (SLR) 的疗效.
- 评估SLR在检测间歇性和预测胃食道逆流性疾病 (GERD) 的有效性.
主要方法:
- 接受高分辨率食道测量手术的患者进行了单脚和双脚升高.
- 评估了沟的检测,IAP的增加和食道内压力 (IEP) 的变化.
- 在SLR期间调查阻抗变化,以预测食道酸暴露.
主要成果:
- 单腿和双腿都提高了沟检测率的改善.
- 双腿提升显著增加了IAP (>50%) 比单腿提升更有效 (100%vs65.1%).
- 双腿升高显示IAP和IEP变化之间的相关性更强,并与较低的食道内阻抗有关.
结论:
- 单脚和双脚提升都在高分辨率食道测量仪 (HREMI) 中有效检测椎.
- 双腿提升可以更有效地增强IAP,有可能改善GERD预测和HREMI期间患者的结果.
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