视频囊内镜vs简单气球内镜在小肠疾病中的诊断产量:系统性审查
Eyad Gadour1,2, Bogdan Miutescu3,4, Hussein Hassan Okasha5
1Multiorgan Transplant Centre of Excellence, Liver Transplantation Unit, King Fahad Specialist Hospital, Dammam 32253, Saudi Arabia.
视频囊内镜 (VCE) 和简单的气球肠镜 (SBE) 为小肠疾病提供了可比的诊断产量. SBE在检测性病变和克罗恩病方面表现出色,而VCE在血管病变方面更好,这两种模式在患者管理中都是互补的.
科学领域:
- 胃肠病学和内镜检查
- 诊断成像 诊断成像 诊断成像
- 小肠疾病 小肠疾病
背景情况:
- 小肠疾病,包括不清楚的胃肠道出血 (OGIB),克罗恩病和瘤,需要精确的诊断方法.
- 视频囊内镜 (VCE) 和简单的气球内镜 (SBE) 是主要的诊断工具,但每个都有治疗能力和诊断准确性的局限性.
研究的目的:
- 为了比较小肠疾病的VCE和SBE的诊断产量.
- 分析影响不同诊断方法的诊断异质性和临床结果的因素.
主要方法:
- 在PubMed,Embase,Cochrane图书馆和Scopus进行了系统的文献搜索.
- 分析了七项评估VCE和SBE表现的中等到高质量的回顾性研究.
- 诊断准确性研究的质量评估 (QUADAS) 用于评估研究质量和偏差风险.
主要成果:
- VCE和SBE对小肠病变的总体检测率相似,VCE对血管病变优越,SBE对性病变优越.
- 对于小肠道出血,SBE的总体检测率 (69.7%) 比VCE (57.6%) 高,并且对诊断克罗恩病 (35%对11.3%) 显著更好.
- 在治疗干预中,SBE提供了优势,而VCE具有更高的患者耐受性 (95%完成率),但注意到囊保留率 (1.4%).
结论:
- VCE和SBE是对小肠疾病的互补诊断方式.
- 建议VCE作为稳定的OGIB的首选,而SBE则适用于需要治疗干预的患者.
- 整合VCE和SBE可以提高诊断准确度,并优化患者管理策略.
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