在怀疑或确诊患有克罗恩病的患者中,用于小肠囊内镜的肠道制备
Shohei Terashi1, Sotaro Ozaka1,2, Yomei Kagoshima1,3
1Department of Gastroenterology, Faculty of Medicine, Oita University, Yufu 879-5593, Japan.
World journal of gastrointestinal endoscopy
|February 17, 2026
概括
在克罗恩氏病 (CD) 患者的小肠囊内镜 (SBCE) 中,程序前的肠道准备并不能显著改善诊断性能或粘膜可见性. 这一发现简化了使用SBCE诊断克罗恩病的协议.
科学领域:
- 胃肠病学 胃肠病学
- 诊断内镜检查 诊断内镜检查
背景情况:
- 小肠囊内镜 (SBCE) 对于诊断克罗恩病 (CD) 是至关重要的.
- 在CD患者中,SBCE的最佳手术前肠道准备方案尚未确定.
研究的目的:
- 评估肠道准备对SBCE诊断性能的影响.
- 在SBCE期间评估粘膜可见性,在CD患者的肠道准备和没有肠道准备的情况下.
主要方法:
- 对57名患有疑似或确定的CD接受SBCE的患者进行了回顾性观察性研究.
- 只有禁食的SBCE与肠道制备 (聚乙烯糖醇与西米西康) 的比较.
- 主要结果:病变检测率;次要结果:完成,图像质量,传输时间,不良事件.
主要成果:
- 在准备 (96.6%) 和未准备 (95.6%) 组之间,病变检测率没有显著差异.
- 在两组中,完成率,运输时间和可见性得分都相似.
- 在制剂组报告了一例肠道阻塞病例.
结论:
- 术前肠道准备并不能提高SBCE对克罗恩病的诊断性能.
- 在接受SBCE的CD患者中,肠道准备并没有显著改善粘膜可见性和检查完成.
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