坚持指导方针,陷和新兴技术在内镜实践的乳病:一个全国性的SIGENP调查调查
Silvana Ancona1, Federica Malerba2,3, Federico Medina4
1UOC Reumatologia E Malattie Autoinfiammatorie, IRCCS Istituto Giannina Gaslini, 16147, Genoa, Italy.
European journal of pediatrics
|March 11, 2026
概括
儿科乳病诊断显示对活检数量指导方针的高度遵守,但在活检方向和随访时间方面存在差距. 新型内镜技术未得到充分利用,需要进一步的培训和研究.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 胃肠内镜检查 胃肠内镜检查
- 结核病的诊断 结核病的诊断
背景情况:
- 儿童的乳病诊断依赖于上部胃肠内镜 (UGIE) 与十二指肠活检.
- 在儿科内镜实践中遵守欧洲儿科胃肠病学,肝病学和营养学会 (ESPGHAN) 的指导方针可能会有所不同.
- 诊断陷和新型内镜技术的整合仍然是关键的挑战.
研究的目的:
- 通过UGIE评估儿童乳病诊断是否遵守ESPGHAN指南.
- 为了识别腹腔疾病的内镜实践中常见的陷.
- 评估在儿科胃肠病学中采用新型内镜技术的情况.
主要方法:
- 在意大利的儿科胃肠病学中心 (SIGENP成员) 分发了一项多中心,基于网络的调查.
- 分析了来自34个中心的38个反应,涉及到活检实践,随访协议和技术使用.
- 数据集中在活检数量,部位,方向,重复内镜的时间和先进内镜工具的使用上.
主要成果:
- 91%的中心获得了≥5个十二指肠活检,包括球和远端十二指肠,怀疑患有腹腔疾病.
- 29%的内镜医生报告了活检样本的方向不正确.
- 48%的受访者在不推的间隔内对持续的TGA-IgA阳性进行了随访UGIE,新技术的使用是有限的 (22%).
结论:
- 整体上,对儿科乳病诊断的ESPGHAN指南的遵守程度很高,但某些特定领域,如活检指导和随访时间需要改进.
- 在临床实践中使用新型内镜技术和人工智能目前是有限的.
- 进一步的研究和专门的培训计划对于加强先进内镜技术的整合和提高乳病的诊断准确性至关重要.
相关概念视频
Endoscopic Procedures I: Esophagogastroduodenoscopy
1.7K
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
1.7K
Endoscopic Procedures III: Video Capsule Endoscopy
1.1K
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
1.1K
Endoscopic Procedures V: ERCP
4.8K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
4.8K
Endoscopic Procedures II: Colonoscopy
1.0K
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:
1.0K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
938
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...
938
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
562
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...
562

