在CT确认的急性门炎后,对例行灵活的半导体镜进行评估:一项回顾性研究
Hatim Albirnawi1, Amr K Ebrahim2,3, Arian Rahim2
1Upper GI Surgery, Maidstone and Tunbridge Wells NHS Trust, Maidstone, GBR.
在急性斑炎后,不需要进行例行灵活的半导体镜检查,因为没有发现恶性瘤. 考虑对高风险患者进行便免疫化学测试 (FIT) 等更少侵入性的测试,以降低成本和风险.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 在西方国家,急性垂炎的发生率越来越高.
- 目前的指导方针建议进行内镜随访,以排除恶性瘤,但证据有限.
- 这项研究评估了CT诊断的急性分泌体炎后常规灵活的半导体镜的价值.
研究的目的:
- 评估CT确诊的急性无并发性分泌体炎患者常规灵活性半导体镜的实用性.
- 为了确定在随访内镜检查期间发现的恶性瘤和显著的息肉的发生率.
- 为了为临床实践提供有关皮炎后内镜监测的信息.
主要方法:
- 对429名CT确诊急性无并发性分泌体炎的患者进行了回顾性队列研究 (Hinchey 1).
- 患者在首次呈现后6至8周接受了灵活的半导体镜.
- 收集的数据包括人口统计数据,CT检测结果和西格莫显微镜检查结果.
主要成果:
- 在429名患者中没有检测到任何结肠恶性瘤.
- 只有三名患者 (0.69%) 患有息肉 (一个是炎症性,一个是多发性,一个是带有低级失生症的管状腺瘤).
- 这些发现表明,通过常规内镜检测显著病理的产量非常低.
结论:
- 经CT确认的急性无并发性分泌体炎后,常规的柔性半导体镜似乎是不必要的.
- 对于高风险个体来说,可能适合使用较少侵入性的查方法,例如便免疫化学测试 (FIT).
- 这种方法可以减少不必要的程序,患者的风险和医疗保健支出.
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