双向内镜对年轻患者缺铁性贫血的诊断产量
Binyamin R Abramowitz1, Helena Saba2, Ayse Aytaman3
1Department of Medicine, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY, 11203, USA. binyamin.abramowitz@downstate.edu.
BMC gastroenterology
|August 18, 2024
概括
上部内镜 (EGD) 在年轻成年人中诊断缺铁性贫血 (IDA) 时比结肠镜更有效. 无症状的IDA年轻患者显示,EGD的诊断产量更高.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 目前的指导方针建议双向内镜检查老年人缺铁性贫血 (IDA).
- 在较年轻,无症状的IDA患者中,内镜的实用性证据有限.
- 这项研究涉及45岁以下的IDA患者的诊断产量.
研究的目的:
- 为了确定双向内镜在45岁以下的男性和患有IDA的绝经前妇女的诊断产量.
- 描述具有显著内镜和病理学证明发现的患者的临床特征.
- 在这个队列中,评估食管胃管腺镜 (EGD) 与结肠镜的疗效.
主要方法:
- 对45岁以下的患者进行了回顾性图表审查,这些患者患有经过EGD和/或结肠镜检查的IDA.
- 数据收集包括人口统计,临床表现和内镜发现.
- 分析根据症状和程序类型分层发现.
主要成果:
- 消化管胃管腺镜检查 (EGD) 在28.6%的患者中产生了上部消化管上部的阳性发现,其中70.3%与H. pylori相关.
- 与症状患者 (18.2%) 相比,45岁以下的无症状患者与IDA在EGD上的诊断收益率更高 (42.9%).
- 结肠镜检查显示,8.3%的患者有下肠道病变.
结论:
- 在IDA的年轻患者中,EGD的诊断产量明显高于结肠镜.
- 研究结果支持目前针对年轻人群的内镜指南的临床相关性.
- 在45岁以下无症状的IDA患者中,EGD的诊断产量更高,可能是由于症状群体的药物使用.
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