延长72小时通透囊协议改善了囊内镜检查的高风险患者的功能通透率
Fintan John O'Hara1, Conor Costigan2, Deirdre McNamara3
1Department of Gastroenterology, Tallaght University Hospital, Dublin 24 D24 NR0A, Ireland. fintan.ohara@gmail.com.
World journal of gastrointestinal endoscopy
|December 30, 2024
概括
将透囊协议延长到72小时可以提高囊内镜的功能透率. 这种扩展的协议是安全和有效的,允许更多有囊保留风险的患者接受诊断囊内镜检查.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
背景情况:
- 囊内镜 (CE) 对于诊断胃肠道疾病至关重要.
- 囊保留是一种风险,特别是在高风险患者中.
- 标准的28小时通透性囊 (PC) 协议可能导致错误阳性,排除患者从CE.
研究的目的:
- 为了评估延长72小时的通透性囊协议.
- 提高囊保留风险的患者的功能通透率.
主要方法:
- 这是一项6个月的前性,开放性研究.
- 招募了135名患有囊保留风险因素的患者.
- 使用72小时的PC协议评估功能通透性.
主要成果:
- 随着72小时的协议,整体功能通透率增加到57.8%.
- 根据扩展协议确认患病率为阳性的患者中没有发生囊保留.
- 在扩展方案后接受CE的患者中,50%的患者有临床显著的发现.
结论:
- 一个72小时的穿透囊协议显著提高了功能穿透率.
- 扩展协议是安全,有效和成本中立的,增加了CE可访问性.
- 建议进行进一步的研究,以优化该协议的临床效用.
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