[在便隐性血液检测阳性患者的结肠镜检测结果:描述性研究]
Edison Javier Moreira Granda1, Santiago Regnasco1, Josefina Romero1
1Hospital General de Agudos Dr. Ignacio Pirovano. Ciudad Autónoma de Buenos Aires, Argentina. Hospital General de Agudos Dr. Ignacio Pirovano Ciudad Autónoma de Buenos Aires Argentina.
Acta gastroenterologica Latinoamericana
|December 4, 2025
概括
使用免疫性便隐性血液测试 (IFOBT) 进行结肠直肠癌查是有效的. 然而,只有不到一半的IFOBT阳性结果的患者进行了结肠镜检查,突出了进入障碍.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌 (CRC) 是一个重要的全球健康问题,患病率和死亡率很高.
- 阿根廷国家预防CRC计划建议每两年对50-75岁的个人进行IFOBT.
- 阳性IFOBT结果需要结肠镜检查以确定诊断和早期检测.
研究的目的:
- 在查人群中评估IFOBT阳性率.
- 确定在IFOBT阳性后接受结肠镜检查的患者比例.
- 评估阳性IFOBT结果的患者的腺瘤检测率和CRC患病率.
主要方法:
- 对年龄在50-75岁之间的患者数据的回顾性分析.
- 纳入标准:IFOBT阳性,随后进行结肠镜检查.
- 从2020年1月到2024年1月在布宜诺斯艾利斯Pirovano医院收集的数据.
主要成果:
- 总共有717名患者被分析;21.6%的IFOBT阳性.
- 只有42.6%的IFOBT阳性患者接受了结肠镜检查.
- 在80%的结肠镜检查中发现了结肠直肠病变,其中包括3%的CRC和33.3%的腺瘤检测率.
结论:
- IFOBT查有效地识别显著的结直肠病变,包括癌症和腺瘤.
- 积极的IFOBT结果和随后的结肠镜检查之间存在很大的差距,这表明存在进入障碍.
- 需要制定战略来提高结肠镜检查的普及率,以优化阿根廷的CRC查.
更多相关视频
相关概念视频
01:25Assessment of the Rectum and Anus
1.0K
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
1.0K
01:30Serum Laboratory Studies, Stool Test, Breath Test
730
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
730
01:26Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
353
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
353
01:25Endoscopic Procedures II: Colonoscopy
568
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
568
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
519
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
519
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
617
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
617