上部胃肠道病变中的内镜和组织病理学诊断的相关性:一个截面研究
Sudhasmita Rauta1, Pratima Baisakh2, Aswini K Sahoo3
1Pathology, Hi-Tech Medical College and Hospital, Bhubaneswar, IND.
Cureus
|October 18, 2024
概括
胃肠内镜准确诊断食道和胃病变,但十二指肠病变的诊断显示出变化. 需要进一步的研究,以提高所有上部胃肠道疾病的准确性.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 带有活检的胃肠道内镜对于诊断和管理胃肠道疾病至关重要.
- 内镜检测结果与组织病理学之间的准确相关性对于患者护理至关重要.
研究的目的:
- 为了分析上部GIT的组织病理病变的频谱.
- 为了将内镜检查结果与食道,胃和十二指肠的组织病理学诊断相关联.
主要方法:
- 对114名接受GIT内镜检查的患者进行了回顾性观察性研究.
- 病变类型的分析和内镜和组织学之间的诊断协议.
- 包括2023年6月至2024年6月的数据在高等医学院.
主要成果:
- 病变最常见的是胃部 (52.6%),其次是十二指肠 (35.1%) 和食道 (12.3%).
- 对食道炎 (100%) 和胃炎 (95%) 观察到内镜和组织学诊断之间的高度一致性.
- 十二指管病变的诊断显示出可变的一致性 (100%的十二指管炎,71.43%的神经内分泌瘤),与整体不良一致性 (κ=0.49).
结论:
- 内镜程序在诊断上部GIT病变方面表现出可靠性,特别是在食道和胃.
- 在准确诊断十二指肠病变方面仍然存在挑战,需要进一步调查.
- 结果支持有针对性的查和研究,以提高诊断准确性和GIT疾病的患者结果.
关键词:
诊断的准确性 诊断的准确性十二指甲炎是什么意思通过内镜检查 (endoscopy) 进行内镜检查消化道炎 消化道炎胃炎是一种胃炎.组织病理学 组织病理学瘤性病变的病变发生.非新生病变的病变.胃肠道上部的胃肠道更多相关视频
相关概念视频
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
94
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
94
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
Barrett Esophagus-I: Introduction
70
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
70
Endoscopic Procedures II: Colonoscopy
58
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
58
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
Serum Laboratory Studies, Stool Test, Breath Test
318
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
318


