小肠囊内镜在儿童的临床影响和诊断产量
Kathryn Kaihlanen1, Song Zhang2, Claudia Phen3
1Department of Pediatrics, University of Texas Southwestern, Dallas, Texas, USA.
视频囊内镜 (VCE) 对于诊断儿科小肠疾病非常有价值. 然而,对于腹痛的VCE显示出较低的诊断收益率和较少的管理变化,与其他迹象相比.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 诊断内镜检查 诊断内镜检查
- 小肠疾病 小肠疾病
背景情况:
- 儿童小肠疾病需要有效的诊断工具.
- 视频囊内镜 (VCE) 提供了一种微创方法来可视化小肠.
研究的目的:
- 评估VCE在儿科患者中的临床实用性.
- 根据指示,评估诊断产量和对管理的影响.
主要方法:
- 对478项儿科VCE研究 (2004-2022) 的回顾性图表审查.
- 对指示,诊断产量和治疗或诊断计划的变化进行分析.
- 奇二测试比较了不同适应症的结果.
主要成果:
- 51.3%的VCE研究是积极的,35.4%导致了管理层的变化.
- 对腹痛的VCE研究不太可能是积极的 (p<0.001) 和改变管理 (p<0.004).
- 患者的中位数年龄为12岁,58.8%为男性.
结论:
- 在临床上,VCE对于诊断和监测儿科小肠病理非常有用.
- 作为VCE的征兆,腹痛与较低的诊断产量和较少的管理修改有关.
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