在结肠镜检查失败后重复结肠镜检查的实用性:系统性审查和聚合分析
Aamir Saeed1, Usama Qamar2, Erin Tsambikos3
1Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
重复结肠镜检查实现了95.7%的高结肠管道输入率,在初步程序不完整时,为结肠癌查和治疗干预提供了宝贵的第二次机会.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 癌症查 癌症查
背景情况:
- 结肠镜对于结肠的可视化和干预至关重要.
- 不完整的结肠镜检查增加了错过近道结肠癌的风险.
- 替代方案,如酸浸泡剂或CT结肠镜缺乏直接可视化和治疗能力.
研究的目的:
- 在之前的不完整手术后,系统地审查和元分析重复结肠镜检查结果.
- 在重复结肠镜检查中评估内输管率 (CIR).
- 评估重复结肠镜检查对治疗干预措施的有效性.
主要方法:
- 在主要数据库中进行全面的文献搜索.
- 包括对初始结肠镜检查失败的患者的研究 (不包括不良的肠道准备).
- 使用Open Meta Analyst软件对变量和元回归分析进行聚合率计算.
主要成果:
- 分析了26项涉及1647名患者的研究.
- 在重复结肠镜检查中,综合整体脑内输管率 (CIR) 为95.7%.
- 具体的CIR:标准结肠镜 (96.2%),单气球肠镜 (96.8%),双气球肠镜 (93%).
结论:
- 重复结肠镜检查非常有效,可以达到95%的内输管率.
- 这种程序允许检测和治疗瘤和腺瘤的干预.
- 重复结肠镜检查为不完整的手术提供了比非可视化方法更好的替代方案.
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