在服用抗血栓剂的患者中,可拆卸串磁控囊内镜的优异胃肠道可视化和安全性
Guoyan Bai1, Yamei Sun1, Zhen Yan1
1Department of Gastroenterology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Frontiers in medicine
|May 15, 2025
概括
与无线系统相比,可拆卸串磁控囊内镜 (ds-MCE) 在接受抗血栓治疗的患者中显著改善食道可视化和病变检测. 这种先进的技术为胃肠道检查提供了更安全,更少侵入性的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
- 内镜成像系统的成像
背景情况:
- 无线磁控囊内镜 (WMCCE) 是抗血栓治疗患者的一种非侵入性选择.
- 在食道可视化方面,WMCCE存在局限性,并存在囊保留的风险.
- 可拆卸串磁控囊内镜 (ds-MCE) 被探索为一种替代方案.
研究的目的:
- 评估dS-MCE在服用抗血栓剂的患者中的安全性和可行性.
- 在食道可视化和病变检测方面,将ds-MCE与WMCCE进行比较.
主要方法:
- 一个单一中心的回顾性研究,涉及387名接受抗血栓治疗的患者.
- 86名接受ds-MCE的患者和301名接受WMCCE的患者之间的比较.
- 评估食道和胃的可视化,病变检测,检查时间和ds-MCE安全性 (不适,不良事件).
主要成果:
- 与WMCCE相比,ds-MCE显示了食道Z线 (52.3%对6.3%) 和粘膜 (上部:87.2%,中部:97.7%,下部:98.8%) 的完全可视化率显著更高.
- 与ds-MCE (p < 0.001) 观察到食道病变的检测率更高,包括癌症和静脉.
- 在d-s-MCE时,没有发生囊保留,94.2%的患者报告没有或轻度不适.
结论:
- 与WMCCE相比,ds-MCE显著提高了食道可视化和病变检测.
- ds-MCE为抗血栓治疗患者提供了比食管胃管腺镜术更安全,更少侵入性的替代方案.
- 该技术表现出极好的安全性和耐受性.
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