在囊内镜中延迟上部胃肠道过境的危险因素
Xin Long He1, Hui Min Chen1, Han Bing Xue1
1Division of Gastroenterology and Hepatology, NHC Key Laboratory of Digestive Diseases, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Scandinavian journal of gastroenterology
|September 4, 2024
概括
在小肠囊内镜 (SBCE) 期间,延迟上胃肠道通道 (DUGT) 与住院治疗,腹,糖尿病和脑血管疾病有关. 识别这些风险因素可以改善SBCE的疗效和患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 临床研究 临床研究
背景情况:
- 小肠囊内镜 (SBCE) 是评估胃肠道疾病的关键诊断工具.
- 延迟上部胃肠道过境 (DUGT) 可以阻碍SBCE的诊断产量和完成率.
- 了解DUGT的风险因素对于优化SBCE程序至关重要.
研究的目的:
- 在接受SBCE的患者中,确定与延迟上部胃肠道通行 (DUGT) 相关的风险因素.
- 通过减轻DUGT,提高SBCE的诊断效率和成功率.
主要方法:
- 对接受SBCE的1459名患者的医疗记录进行了回顾性审查.
- 收集的数据包括患者人口统计和潜在的DUGT风险因素 (指示,并发症,住院治疗,贫血,炎症).
- 使用单变量和多变量逻辑回归分析来确定DUGT的显著风险因素,定义为1小时内囊过境失败超越柱状细胞.
主要成果:
- 21% (306/1459) 的患者经历了DUGT.
- 住院状态 (p=0.030),腹 (p=0.017),糖尿病 (p=0.027) 和脑血管疾病 (p=0.038) 被确定为 DUGT 的重要危险因素.
- 总体而言,SBCE的完成率为95.5% (1394/1459).
结论:
- 在SBCE中,DUGT与住院治疗,腹,糖尿病和脑血管疾病显著相关.
- 建议在患有这些风险因素的患者中主动监测囊状态.
- 对患有DUGT风险的患者及时干预可以提高SBCE检查完成率和诊断准确度.
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