与临床上显著的外部压缩相关的因素在胃肠内镜上
Jin Young Yoon1, Jin Kyung Bae2, Su Bee Park1
1Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Republic of Korea.
Digestive diseases and sciences
|January 13, 2025
概括
临床医生可以通过患者的年龄,病变大小,先前的恶性病史和腹部膨胀来识别显著的胃腹外部压缩病变 (GDECL). 这些因素有助于确定是否需要进一步评估GDECL.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 在瘤学瘤学.
背景情况:
- 胃肠外界压缩性病变 (GDECLs) 经常在上部胃肠内镜 (UGE) 期间偶然发现.
- 缺乏针对GDECL的既定管理准则.
- 鉴定临床显著的GDECL的因素对于适当的患者管理至关重要.
研究的目的:
- 确定与临床显著的GDECLs相关的临床和内镜因素.
- 根据其临床意义对GDECL进行分层.
主要方法:
- 在UGE上对73名怀疑GDECL的患者进行了回顾性研究.
- 将GDECL分为临床显著和非显著的组.
- 多变量分析以确定临床显著的GDECLs的独立预测因素.
主要成果:
- 31.5%的GDECL被归类为具有临床意义.
- 年龄较大 (≥60岁),病变大小大 (≥4厘米),有史以来腹内恶性瘤和腹部膨胀独立地与临床显著的GDECL相关.
- 所有确定的因素都具有统计学意义 (p < 0.05).
结论:
- 临床和内镜因素可以预测UGE发现的GDECL的意义.
- 这些预测因素可以指导关于GDECLs进一步诊断工作的决定.
- 通过风险分层来改善GDECL的管理.
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