推进肠镜检查和结肠镜检查在有阴性食道胃管腺镜检查的患者身上:前性多中心研究
Kotchakon Maipang1,2, Julajak Limsrivilai1,2, Chenchira Thongdee3
1Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
推进肠镜检查 (PE) 对于在阴性食道胃管腺镜检查 (EGD) 后诊断黑色素的来源,比结肠镜检查更有效. 将PE与结肠镜相结合,为这些患者提供了最高的诊断产量.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 消化系统疾病 消化系统疾病
背景情况:
- 在非诊断性食道胃管腺镜检查 (EGD) 时评估梅伦,缺乏明确的指导方针.
- 标准建议包括结肠镜检查,但其对上部胃肠道出血的诊断产量有限.
- 靠近小肠出血是这些患者常见的原因,这表明推进肠镜 (PE) 有作用.
研究的目的:
- 为了比较推进肠镜 (PE) 与结肠镜在患有黑色素和EGD阴性结果的患者的诊断产量.
- 在这个患者群体中评估PE和结肠镜的联合诊断产量.
主要方法:
- 一项前性的多中心队列研究,涉及患有黑色素和EGD阴性患者.
- 患者接受了PE,随后进行了结肠镜检查,如果在PE上确定出血源,则省略了结肠镜检查.
- 对比了PE和结肠镜的诊断产量,无论是单独的还是组合的.
主要成果:
- 推进肠镜 (PE) 在35.0%的患者中发现了罪祸首病变,明显高于结肠镜 (12.9%).
- PE的诊断收益率明显高于结肠镜的诊断收益率 (P = 0.005).
- 结合PE和结肠镜,实现了48%的诊断收益率,明显高于单独使用任何一种手术.
结论:
- 推进肠镜 (PE) 是一个有益的调查,为患者呈现与黑色素和无诊断的EGD.
- 在处理这些病例时,应将PE视为结肠镜检查前或结肠镜检查后的主要或辅助工具.
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