在监控麻醉护理下进行当天双向内镜的手术序列的随机对照试验 (RECoVER试验)
Ali El Mokahal1, Halim Bou Daher1, Rana Yamout2
1Division of Gastroenterology, Department of Internal Medicine.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
在EGD前的结肠镜次序 (食管胃管腺镜) 或相反的同一天双向内镜 (BDE) 并没有显著影响恢复时间或镇静. 然而,首先进行结肠镜检查可能会增加手术后的头.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 镇静管理 镇静管理
背景情况:
- 同一天双向内镜 (BDE) 的最佳顺序尚不清楚.
- 现有的证据对于最佳的程序命令是不确定的.
研究的目的:
- 为了比较不同内镜测序对患者康复和手术结果的影响.
- 评估BDE的恢复时间,镇静参数,患者/内镜师的满意度和不良事件.
主要方法:
- 随机对照试验涉及成年人接受BDE与中度镇静.
- 患者被分配到结肠镜前 (C-E) 或EGD前 (E-C) 序列中.
- 主要终点:从镇静中恢复的时间;次要终点:镇静剂量,深度镇静时间,满意度,不良事件和出院后的影响.
主要成果:
- 在C-E和E-C组之间没有观察到恢复时间,镇静剂量或深度镇静持续时间的显著差异.
- 腺瘤检测率和整体不良事件在两个序列之间是相似的.
- EGD-first (E-C) 显示管输管时间较短,而结肠镜-first (C-E) 与更高的出院后头率有关.
结论:
- 同一天BDE的程序序列在关键结果中没有产生临床上显著的差异.
- 个性化决定的顺序可能会考虑程序产量,患者风险和员工暴露因素.
- 进一步的研究可能会探索特定的患者群体或程序变化.
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