专家立场声明:定义肠道超声波在评估便秘和便负荷方面的作用
Ryan M Mathias1,2,3, Thomas M Goodsall4,5, Claire E Parker6
1Inflammatory Bowel Disease Service, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.
肠道超声波适用于评估便秘和便负荷. 专家确定了关键的超声波参数,尽管对于成年患者来说,需要更多的研究来完善这些标准.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 功能性胃肠道疾病 功能性胃肠道疾病
背景情况:
- 肠道超声波 (IUS) 显示出对评估非炎症功能性胃肠道疾病 (如便秘和便负荷) 的前景.
- 目前的诊断方法缺乏这些条件的标准化超声波标准.
研究的目的:
- 用肠道超声波确定特定的超声波参数,以评估便秘和便负荷.
- 在专家之间就IUS在功能性胃肠道疾病中的实用性达成共识.
主要方法:
- 一个多学科的国际专家小组 (14位胃肠科医生,1位放射科医生) 使用了研究和开发/加利福尼亚大学洛杉矶大学的适当性方法.
- 专家们在两轮投票中对57个陈述进行了9点的利克特级别评分,以确定IUS应用和参数的共识.
主要成果:
- 肠道超声波被认为是评估便负荷的适当方式.
- 便负荷的主要超声波参数包括后声影和回声反射.
- 建议小儿便负荷评估的直肠直径为30毫米;成人标准需要进一步研究.
结论:
- 一个专家小组确认肠道超声波适用于评估便秘和便负荷.
- 进一步的前性研究是必不可少的,特别是在成年人群中,以确定对光质内容的超声波指标.
- 扩大IUS在功能性胃肠道疾病中的应用,需要改进超声波标准.
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