严重的不良事件与日本的肠道准备结肠镜:系统性审查
Toshihiro Tadano1, Koichiro Abe2, Seiju Sasaki3
1Cancer Detection Center, Miyagi Cancer Society, Miyagi, Japan.
概括
从肠道准备进行结肠镜检查的严重不良事件 (AEs),特别是肠道阻塞,是对结肠直肠癌 (CRC) 查的一个关注点. 本综述强调了日本的AE特征,以提高患者安全.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠癌查 结肠直肠癌查
- 患者安全 患者安全
背景情况:
- 肠道准备进行结肠镜检查对于结肠直肠癌 (CRC) 查至关重要,但存在严重不良事件 (AE) 的风险.
- 了解这些AE在日本的频率和性质对于制定有效的管理策略至关重要.
研究的目的:
- 系统地审查与日本结肠镜检查肠道准备相关的严重不良事件.
- 探索管理这些AE的潜在策略,特别是在CRC查的背景下.
主要方法:
- 在Ovid-MEDLINE和Ichushi数据库中进行了全面的搜索,截至2024年3月.
- 包括的研究报告了成人接受肠道准备进行结肠镜检查的严重副作用 (需要住院或长时间住院).
- 选择研究的质量评估是使用标准检查清单进行的.
主要成果:
- 从5049个初始记录中提取了54篇文章.
- 严重的副作用发生率为13.9/100,000对于肠道阻塞和2.3/100,000对于肠道穿孔.
- 肠道阻塞是最常见的AE,主要影响伴随疾病的老年患者,导致1例死亡.
结论:
- 本综述介绍了日本肠道准备结肠镜检查严重副作用的发生频率和特征.
- 结果可以为策略提供信息,以减轻风险并提高CRC查程序的安全性.
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