结肠囊内镜在结肠直肠癌和多角切除术后监测中的实用性
Hussain Ibrahim1,2, Julie Dequaire1, Ahmed Abdelwahed1
1Department of General Surgery, NHS Highland, Inverness.
结肠囊内镜 (CCE) 在结肠直肠癌监测中可节省内镜容量,但由于随访率高,需要选择性使用. 仔细选择患者,不包括阿片类药物使用者,可以提高CCE的效用.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠癌查 结肠直肠癌查
背景情况:
- 对结直肠癌和多的监测结直肠镜具有低产量和压力内镜资源.
- 结肠囊内镜 (CCE) 为监测提供了一个潜在的替代诊断工具.
研究的目的:
- 评估CCE在接受结直肠癌和多瘤监测的患者中的实用性.
- 确定CCE对内镜能力的影响,并确定影响其成功的因素.
主要方法:
- 从NHS高地收集的前性收集的服务评估数据的回顾性分析.
- 包括所有在2023年5月至2025年1月期间接受监视CCE的患者.
- 主要结果:需要后续内镜和内镜容量保存;次要结果:CCE完成率和失败因素.
主要成果:
- 146名患者接受了监测CCE; 63.7%需要后续内镜检查.
- CCE实现了高达35.2%的内镜容量节省.
- 阿片类药物使用与CCE失败相关;聚监测和多个聚的历史增加了随访率.
结论:
- 在结直肠监测中,CCE可显著节省内镜容量,但由于后续调查率高,需要选择性应用.
- 改善患者选择,可能排除阿片类药物使用者,三环抗抑郁药使用者或有多重症史的人,可能会增强CCE的益处.
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