结肠囊内镜用于监测性结肠炎的适用性:系统性审查
Mathilde Simone Rasmussen1,2, Lea Østergaard Hansen1,2, Ulrik Deding1,2
1Department of Surgery, Odense University Hospital, Svendborg, Denmark.
结肠囊内镜 (CCE) 对性结肠炎 (UC) 的监测有希望,但需要提高特异性和负预测值. 优化肠道准备是提高患者体验和CCE有效性的关键.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜检查是指内镜检查.
背景情况:
- 性结肠炎 (UC) 治疗目标已经转向粘膜愈合,需要精确的内镜可视化.
- 标准结肠镜检查 (SC) 可能是侵入性的;结肠囊内镜检查 (CCE) 为UC监测提供了一个不那么侵入性的替代方案.
研究的目的:
- 评估CCE的诊断准确性与SC相比,用于监测UC.
- 评估与UC患者中CCE相关的不良事件和耐受性.
主要方法:
- 在PubMed,Embase和Web of Science进行了系统的文献搜索.
- 在查后,包括了六项研究,提取了有关程序完整性,肠道准备和不良事件的数据.
- 对于提供相关数据的研究,计算了诊断准确性的聚合估计.
主要成果:
- 在检测粘膜炎症时,CCE的综合灵敏度为93%,特异性为68.8%.
- 积极的预测值为89.4%,负的预测值为78.6%.
- 恶心和腹部张张等不良事件主要与肠道准备有关.
结论:
- 结肠囊内镜 (CCE) 显示了监测性结肠炎 (UC) 的潜力.
- 对于CCE,需要提高特异性和负预测值.
- 优化肠道准备方案对于提高患者体验和CCE有效性至关重要.
更多相关视频
15:49Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
00:08Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
Published on: August 24, 2019
相关概念视频
Endoscopic Procedures III: Video Capsule Endoscopy
Endoscopic Procedures II: Colonoscopy
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
