芝加哥分类版本4.0对食道测量术的现实应用:亚洲多中心研究
Soo In Choi1, Jong Wook Kim2, Kee Wook Jung3
1National Medical Center, Seoul, Korea.
Journal of neurogastroenterology and motility
|July 8, 2025
概括
芝加哥分类版本4.0 (CC v4.0) 显示了亚洲国家对食道运动障碍的多样化应用. 标准化是必要的,以提高诊断可靠性和临床实践.
科学领域:
- 胃肠病学 胃肠病学
- 食道生理学 食道生理学
- 诊断标准 诊断标准 诊断标准
背景情况:
- 芝加哥分类版本4.0 (CC v4.0) 为诊断食道运动障碍提供了一个标准化的高分辨率测量方案.
- 在亚洲国家,CC v4.0的实际应用需要进行调查.
研究的目的:
- 评估目前在亚洲国家对芝加哥分类版本4.0 (CC v4.0) 协议的应用和遵守情况.
- 为了确定食道运动障碍的诊断实践的变化.
主要方法:
- 在2023年3月至6月期间,使用谷歌调查进行了多机构调查.
- 问卷分发给亚洲神经胃肠病学和运动协会的成员,评估CC v4.0协议的遵守和诊断方法.
主要成果:
- 亚洲9个国家的33个中心收到了回复.
- 在协议遵守方面观察到显著的异质性,包括药物使用 (抗胆固醇药物,麻醉药物),适应期,呼吸计数和吞间隔.
- 在挑测试应用 (多次快速吞,快速饮料挑战) 和补充诊断 (定时食管,功能性光线成像探针) 的可用性方面,注意到了变化.
结论:
- 该研究显示,在亚洲中心中,芝加哥分类版本4.0 (CC v4.0) 协议的应用中存在相当大的异质性.
- 标准化工作对于提高中心间可靠性和减少食道运动障碍诊断中的诊断模糊性至关重要.
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