不完整结肠镜的最佳方法:结肠囊内镜或重复常规结肠镜?
Tiago Lima Capela1,2,3, Tiago Cúrdia Gonçalves1,2,3, Bruno Rosa1,2,3
1Gastroenterology Department, Unidade Local de Saúde do Alto Ave, Guimaraes, Portugal.
结肠囊内镜 (CCE) 和重复常规结肠镜对于完成不完整的结肠镜检查同样有效和安全. 这两种方法都为结直肠发现提供了可比的诊断产量,为患者提供了可行的选择.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 医疗器械 医疗器械
背景情况:
- 不完整结肠镜 (IC) 完成率各不相同,缺乏标准化的后续策略.
- 固定角度和不可减小的循环形成是IC的常见原因.
- 评估IC完成的替代方法对于患者护理至关重要.
研究的目的:
- 为了比较结肠囊内镜 (CCE) 与重复常规结肠镜检查的疗效和安全性,以完成之前的不完整结肠镜检查.
- 评估与CCE和重复结肠镜相关的诊断产量和不良事件.
主要方法:
- 成人IC患者在镇静下进行的回顾性队列研究.
- 患者接受了CCE (PillCam COLON2) 或重复常规结肠镜检查.
- 适当的CCE进展率与腔输管率的比较,以及结肠准备质量,诊断产量和不良事件.
主要成果:
- 在CCE (95.3%) 和重复结肠镜 (90.1%) (p=0.073) 之间完成率没有显著差异.
- 与CCE (76.0%) 相比,重复结肠镜 (92.8%) 的结肠准备质量明显更好 (p<0.001).
- 两组之间没有观察到诊断产量或不良事件的显著差异.
结论:
- 无论是CCE还是重复常规结肠镜,对于完成不完整的结肠镜都是有效和安全的.
- 在CCE和重复结肠镜之间做出选择可能取决于诸如准备质量和患者耐受性等因素.
- 进一步的研究可以探索患者报告的结果和成本效益.
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