更新的肠道准备方案用于结肠镜检查:好处和缺点
Seung Min Hong1, Dong Hoon Baek1
1Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Clinical endoscopy
|December 18, 2025
概括
为结肠镜检查选择正确的肠道制备是预防癌症的关键. 较新的选择,如低容量PEG和口服硫酸盐片,可以提高患者的耐受性和坚持性,提高结肠镜质量.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠癌 预防 预防
背景情况:
- 优化肠道准备对于高质量的结肠镜检查和预防结肠直肠癌至关重要.
- 传统的高容量聚乙烯甘醇 (PEG) 溶液面临耐受性问题,影响患者的坚持.
- 新兴的低容量PEG和高度替代品提供了更好的合规性和有效性.
研究的目的:
- 审查不断变化的肠道制备选项在结肠镜检查中的变化.
- 为了比较各种肠道制备方案的疗效,耐受性和患者遵守性.
- 强调基于患者特征的个性化治疗方案选择的重要性.
主要方法:
- 关于肠道准备剂的当前文献的综述.
- 对不同类型制剂 (PEG,口服硫酸盐溶液,片剂) 的疗效和耐受性数据的比较.
- 讨论影响患者遵守和程序结果的因素.
主要成果:
- 低容量PEG和高透剂的疗效与传统的高容量PEG相比并非劣.
- 口服硫酸盐溶液和片剂提供了更好的口感和耐受性.
- 口服硫酸盐片提供了方便与可比的疗效和增强的耐受性,尽管罕见的胃刺激被注意到.
- 辅助的simethicone通过减少气泡来改善粘膜可视化.
结论:
- 个性化,基于证据的选择肠道准备方案是必不可少的.
- 根据患者的因素 (年龄,并发症,偏好) 进行选择,可以改善粘附性和肠道清洁.
- 优化肠道准备可以提高结肠镜的诊断产量和程序效率.
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