在铁缺乏性贫血患者中胃肠内镜的诊断产量
Anand Kumar Raghavendran1, Shiran Shetty2, Balaji Musunuri3
1Registrar, Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
The Journal of the Association of Physicians of India
|August 21, 2025
概括
胃肠内镜对于诊断缺铁性贫血至关重要. 结肠镜 (52. 4%) 和上部内镜 (43. 6%) 显示出显著的病变,症状指导最佳方法.
科学领域:
- 胃肠病学
- 血液学
- 诊断内镜
背景情况:
- 缺铁性贫血 (IDA) 是一个普遍的全球健康问题.
- 在IDA中内镜病变的识别因地理位置和患者因素而异.
- 这项研究评估了印度IDA队列中的内镜诊断产量.
研究的目的:
- 评估IGD患者上部肠道内镜和结肠镜的诊断性能.
- 确定与印度的IDA相关的常见内镜发现.
- 确定影响诊断产量的因素.
主要方法:
- 从2016年1月到2023年3月对554名IDA患者进行了回顾性分析.
- 包括人口统计数据,内镜发现和实验室参数.
- 上部肠道内镜 (n=435) 和结肠镜 (n=309) 数据的分析.
主要成果:
- 在43. 6%的患者中,上部内镜显示出显著的病变;在52. 4%的患者中,结肠镜显示出显著的病变.
- 胃病 (13. 3%) 和食道静脉 (8. 3%) 是常见的上部肠道发现.
- 在结肠镜检查中,结肠 (25. 24%) 和恶性瘤 (12%) 较为普遍;症状与产量相关 (p < 0. 05).
结论:
- 胃肠内镜对于诊断IDA至关重要.
- 症状的存在应指导初始内镜程序的选择.
- 建议对所有IDA患者进行内镜检查,不论年龄.
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