在不充分的肠道准备后,短时间内重复结肠镜检查在退伍军人中很低
Nicha Wongjarupong1,2, Vijay Are1,2, Anders Westanmo2
1University of Minnesota, Minneapolis.
概括
只有59.2%的肠准备不足 (IBP) 患者在一年内完成了推的重复结肠镜检查,而26%的患者从未接受过该程序. 需要进一步努力,以改善肠道不良准备后的随访.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 公共卫生 公共卫生
背景情况:
- 结肠镜质量,包括肠道准备,影响腺瘤检测和间隔癌症的发生率.
- 不充分的肠道准备 (IBP) 需要在一年内重复结肠镜检查.
- 影响IBP后重复结肠镜附着性的因素尚不清楚.
研究的目的:
- 为了确定在不充分的肠道准备 (IBP) 后重复结肠镜完成的速度.
- 确定与遵守IBP后推的重复结肠镜检查相关的因素.
主要方法:
- 从2016年1月到2021年10月,对10466名接受结肠镜检查的人进行了回顾性队列研究.
- 不充分的肠道准备 (IBP) 用波士顿肠道准备量表或阿隆奇克量表来定义.
- 收集在一年内完成重复结肠镜检查的数据以及相关的人口和临床因素.
主要成果:
- 5.5% (571/10,466) 的个人有不充分的肠道准备 (IBP).
- 在IBP患者中,59.2%在一年内完成了重复结肠镜检查,26.0%从未进行过重复结肠镜检查.
- 靠近内镜中心与更高的重复结肠镜率相关,而目前的吸烟与较低的率相关.
结论:
- 肠道不充分准备 (IBP) 的比率为5.5%,对推的重复结肠镜检查的遵守率低于最佳.
- 显著比例的IBP患者没有及时完成后续结肠镜检查,突出了护理上的差距.
- 需要加强策略,以确保肠道准备不足的患者及时接受重复结肠镜检查.
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