使用模式,技术挑战和患者选择与美国和加拿大的一次性十二指镜和带有一次性末盖的十二指镜相关
Monique T Barakat1, Kelita Singh1, Mike Wei1
1Division of Gastroenterology and Hepatology, Stanford University Medical Center, Stanford, California, USA.
Gastrointestinal endoscopy
|October 5, 2024
概括
十二指望镜的单次使用末盖被广泛采用,但完全单次使用的十二指望镜并不常见. 这两种新的设计都带来了影响内镜逆行胆血管细胞造影 (ERCP) 程序的机械挑战.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械技术 医疗器械技术
- 内镜检查是指内镜检查.
背景情况:
- 关于新型十二指镜设计的采用和使用模式的数据有限.
- 评估内镜师报告的这些设备的功能和挑战至关重要.
研究的目的:
- 描述一次性十二指镜和带有一次性末盖的十二指镜的采用,患者选择和使用模式.
- 评估内镜师报告的经验和挑战与这些新的十二指镜技术.
主要方法:
- 一项匿名电子调查分发给美国和加拿大内镜中心.
- 该调查评估了使用情况,患者选择以及与新型十二指镜设计相关的挑战.
- 使用描述性统计数据来分析调查答案.
主要成果:
- 实现了70.2%的响应率,来自各种中心类型的代表.
- 大多数中心都使用标准的可再处理的十二指镜或具有一次性终端盖的标准十二指镜.
- 报告指出,单次使用的末盖和完全单次使用的十二指镜都存在挑战,影响了ERCP的完成.
结论:
- 带有一次性终端盖的十二指镜显示广泛采用,而完全一次性使用的模型使用频率较低.
- 这两种新的十二指镜设计都存在机械限制,这给成功的ERCP程序带来了挑战.
- 这项研究提供了对这些新兴的十二指镜技术的首次大规模评估.
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