镇静和内镜辅助高分辨率计量 (SEA-HRM) 在以前失败的标准食道计量患者中
Daniel L Cohen1, Eyal Avivi1, Sergei Vosko1
1The Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin 70300, Israel.
Diagnostics (Basel, Switzerland)
|October 16, 2024
概括
镇静和内镜辅助 (SEA) 高分辨率计量 (HRM) 为以前失败的标准HRM患者提供100%的成功率. 这种方法是患者的首选,并改善了食道运动障碍的诊断.
科学领域:
- 胃肠病学 胃肠病学
- 胃肠道运动性 胃肠道运动性
- 诊断程序 诊断程序 诊断程序
背景情况:
- 食道高分辨率计量 (HRM) 对于诊断运动障碍至关重要,但可能具有挑战性.
- 标准的HRM可能会由于患者不耐受或技术问题 (如导管绕) 而失败.
研究的目的:
- 评估先前HRM失败的患者的镇静和内镜辅助 (SEA) HRM协议.
- 评估患者对SEA-HRM的耐受性和偏好,与标准HRM相比.
主要方法:
- 以前HRM失败的成年患者在普罗波福镇静下接受了SEA-HRM.
- 上部内镜引导HRM导管的放置,如果需要,使用内镜辅助通过食管胃结 (EGJ).
主要成果:
- 在30名患者中,SEA-HRM实现了100%的技术成功.
- 在73.3%的患者中,诊断出运动障碍,包括秋拉西亚.
- 所有患者都更喜欢SEA-HRM,评价它明显高于标准HRM (9.5对1.9).
结论:
- 对于失败的标准HRM患者来说,SEA-HRM是一种非常成功且耐受良好的替代方案.
- 对于那些在常规HRM中遇到困难的患者来说,应该考虑这种方法.
- 在具有挑战性的病例中,SEA-HRM提高了诊断产量和患者体验.
相关概念视频
Endoscopic Procedures I: Esophagogastroduodenoscopy
72
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
72
Gastroesophageal Reflux Disease II: Clinical Features and Management
56
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
56
Esophageal Strictures-II: Clinical Features and Management
51
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
51
Barrett Esophagus-II: Clinical Manifestations and Management
115
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
115
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
53
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
53
Endoscopic Procedures V: ERCP
119
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
119


