延长视频囊内镜检查时间可以提高囊内镜的完整性.
Kai-Liang Lin1,2,3, Kuan-Yi Sung1,2,3,4, Yong-Cheng Ye1,2,3
1Endoscopy Center for Diagnosis and Treatment, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
长时间的囊内镜 (CE) 检查显著提高了小肠评估完成率和诊断产量. 建议在常规临床实践中使用Overnight CE,以加强疑似小肠疾病的患者管理.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 囊内镜 (CE) 是诊断小肠疾病的宝贵工具.
- 延长考试时间对CE绩效的影响尚不清楚.
研究的目的:
- 评估延长囊内镜成像的完整性和诊断产量.
- 评估在怀疑小肠出血的患者中扩展CE检查的有效性.
主要方法:
- 使用一夜间协议进行成年CE检查的回顾性审查 (2016年1月至2020年12月).
- 根据考试长度对CE记录的分类:在8小时内,在12小时内,以及整个程序.
- 通过使用科克兰的Q测试,比较不同检查持续时间的完成率和诊断产量.
主要成果:
- 总共有88名患者被纳入,其中78.4%是住院患者 (平均年龄72岁).
- 整体小肠评估完成率为93.2%,明显高于12小时内完成率 (79.5%) 和8小时内完成率 (58%).
- 整个一夜间研究的诊断收益率为83%,明显高于8小时组 (71.6%) 和12小时组 (81.8%) 相比.
结论:
- 延长过夜的囊内镜检查提高了完成率和诊断产量.
- 应考虑延长CE作为常规临床实践,用于管理疑似小肠出血的患者.
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