在常规结肠直肠癌查期间用于识别状形和腺瘤的内镜辅助结肠镜检查:一项回顾性队列研究
Ammad Javaid Chaudhary1, Muhammad Saad Faisal1, Abdullah Sohail2
1Department of Internal Medicine Henry Ford Hospital Detroit Michigan USA.
在结直肠癌查期间,内辅助结直肠镜 (EAC) 显著改善了在结直肠癌查过程中检测状状息肉 (SSP) 的能力. 虽然EAC不会影响手术时间,但它可能会使叶输管更具挑战性.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠癌查 结肠直肠癌查
背景情况:
- 难以在难以进入的结肠区域可视化多,需要改进的内镜工具.
- Endocuff是一种结肠镜附件,旨在增强多体检测.
研究的目的:
- 评估Endocuff辅助结肠镜 (EAC) 在检测管状腺瘤和状状息肉 (SSP) 的有效性.
- 为了在常规结直肠癌查环境中将EAC与传统结直肠镜进行比较.
主要方法:
- 一个回顾性队列研究,将传统结肠镜与EAC进行比较.
- 包括在2022年11月至2023年3月期间接受查结肠镜检查的435名患者.
- 主要结局:SSP和管状腺瘤检测率;次要结局:手术时间,头腔和阴道内输管率.
主要成果:
- 在EAC和常规结肠镜检测,手术时间或内输管时间之间没有显著差异.
- 管状腺瘤检测率相似 (41%对39%).
- 在EAC中观察到显著更高的SSP检测率 (16%与8.5%,p < 0.01),但阴道管内注射的成功率较低 (14%与55%,p < 0.01).
结论:
- 在查结肠镜检查过程中,EAC增强了难以可视化的SSP的检测.
- EAC不会显著影响整体程序时间.
- 建议医生考虑检查的适用性,因为使用EAC的阴道管内注射可能会带来潜在的挑战.
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