影响小肠囊内镜治疗慢性腹痛患者疗效的因素
Xinlong He1, Qing Xu2, Hanbing Xue1
1Division of Gastroenterology and Hepatology, NHC Key Laboratory of Digestive Diseases, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Frontiers in medicine
|March 7, 2025
概括
小肠囊内镜 (SBCE) 有效治疗慢性腹痛,特别是在贫血或炎症标志物升高的情况下. 住院治疗,糖尿病和贫血是不明药物诱导胃肠道出血 (DUGT) 的危险因素.
科学领域:
- 胃肠病学 胃肠病学
- 诊断内镜检查 诊断内镜检查
背景情况:
- 慢性腹痛评估是复杂的.
- 小肠囊内镜 (SBCE) 的作用受到争议.
- 确定影响SBCE疗效的因素至关重要.
研究的目的:
- 调查影响慢性腹痛SBCE疗效的因素.
- 分析SBCE过境状态和积极结果的预测因素.
主要方法:
- 对524名经历SBCE的慢性腹痛患者的回顾性分析.
- 数据包括人口统计和风险因素 (住院治疗,贫血,炎症,高血压,糖尿病).
- 进行了单变量和多变量分析.
主要成果:
- 总体而言,SBCE完成率为97.1%.
- 住院治疗,糖尿病和贫血是不明药物诱导胃肠道出血 (DUGT) 的危险因素.
- 贫血和升高的炎症标志物与较高的病变检测率相关 (总体为30.5%).
结论:
- 住院治疗,糖尿病和贫血是 DUGT 的重要危险因素.
- 在慢性腹痛患者,特别是贫血患者和炎症标志物升高患者中,SBCE对检测病变非常有效.
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