在查和监测结肠镜检查期间发现的偶然性炎症性肠病的患病率和临床特征
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Sergio Bronze1,2, Shabari Shenoy3, Manasi Agrawal4
1Gastroenterology and Hepatology Department, Unidade Local de Saúde de Santa Maria, Lisbon, Portugal.
Digestive diseases and sciences
|September 19, 2025
概括
偶然性炎症性肠病 (IBD) 是罕见的,在结肠镜检查期间在0.15%的无症状患者中发现. 虽然大多数病例都是轻微的,但有些人可能会随着时间的推移而出现症状.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠癌查 结肠直肠癌查
- 炎症性肠道疾病是什么
背景情况:
- 炎症性肠病 (IBD) 可能是无症状的.
- 在查结肠镜检查期间可以进行早期检测.
研究的目的:
- 在接受查结肠镜检查的无症状患者中确定偶然IBD的患病率.
- 探索偶然检测到的IBD的临床特征和长期结果.
主要方法:
- 对接受结肠镜检查或监测的无症状成年人的回顾性队列研究 (2009-2023年).
- 偶然性IBD通过内镜和组织学发现定义,没有症状.
- 收集了临床特征和结果.
主要成果:
- 在40,573名患者中,有60名患者 (0.15%) 被诊断为偶发IBD (40个克罗恩氏病,10个性结肠炎,10个IBD未分类).
- 诊断时的平均年龄~55岁,女性占主导地位 (53%).
- 16.7%的人出现症状,8.3%的人在症状出现后开始治疗;没有住院治疗或手术.
结论:
- 偶然IBD的患病率很低 (0.15%).
- 大约20%的克罗恩病和性结肠炎病例可能会出现症状.
- 偶发性IBD通常遵循一种轻度的疾病过程,并发症风险较低.
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