小肠囊内镜在非常早期发病的炎症性肠病中的可行性和安全性:一项多机构研究
Shin-Ichiro Hagiwara1, Hirotaka Shimizu2,3, Ryusuke Nambu4
1Department of Gastroenterology, Nutrition, and Endocrinology, Osaka Women's and Children's Hospital, Osaka, Japan.
小肠囊内镜可行且安全用于诊断儿童早期发病的炎症性肠病. 这种程序有助于识别病变,并且可以安全地通过透视囊评估进行.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 诊断内镜检查 诊断内镜检查
背景情况:
- 小肠囊内镜 (SBCE) 对儿科炎症性肠病 (IBD) 非常重要.
- 对于非常早期发病的IBD (VEO-IBD),SBCE的数据有限.
研究的目的:
- 研究SBCE在患有VEO-IBD的儿童中的可行性和安全性.
- 评估SBCE在这个人群中的诊断效用.
主要方法:
- 对104个SBCE手术在82名6岁以下的VEO-IBD患者的回顾性审查.
- 从7个日本儿科中心 (2013-2022) 收集的数据.
- 分析程序的成功,安全和发现,包括穿透性囊的使用.
主要成果:
- 在所有情况下,SBCE都成功部署,主要是使用传送设备 (95%).
- 在42%的患者中存在异常小肠发现 (34%的胃,18%的).
- 没有报告任何严重的并发症,如保留或穿孔;在95%的病例中使用过性囊.
结论:
- SBCE是一种可行的,安全的诊断工具,用于儿童的VEO-IBD.
- 适当的安全评估,包括穿透性囊,对于这个年龄组的SBCE成功至关重要.
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