设为首页 | 加入收藏
| 欢迎光临本站!

消化内镜学分会官方网站

当前位置:文献追踪 > 国内外期刊

住院状况和性别对小肠胶囊内镜检查结果的影响

发布日期:2014-1-29 12:40:23 文章来源:GIE 作者次数:1190
    住院状况和性别对小肠胶囊内镜检查结果的影响
     
    背景
    视频胶囊内镜(VCE)是最常用于门诊中评估不明原因的胃肠道出血。
     
    目的
    检测性别和住院状况对视频胶囊内镜检查结果的影响。
     
    设计
    回顾性研究。
     
    环境
    两所三级医疗中心和一所退伍军人医疗中心。
     
    患者
    共有167个住院病人和540名门诊病人因不明原因消化道出血而接受707个视频胶囊内镜检查。
     
    干预
    视频胶囊内镜研究。
     
    主要测量指标
    患者年龄,性别,胶囊内镜的指标,胃和小肠过境时间,重大的胶囊内镜检查发现,包括腔内血检和小肠管外主要病变检测及并发症的出现。
     
    结果
    在住院病人检查中能更频繁地确定重大的视频胶囊内镜检查发现(48%比37%,P = 0.009)。 而且内镜安置,胃外(nongastric)通道及对盲肠不完整的等研究也在住院病人视频胶囊内镜检查更常见。胃部过境时间但非小肠过境时间,在住院病人的胶囊内镜研究中更长。住院病人视频胶囊内镜更用于于男性患者(73%比61%,P = 0.004)和过度出血的患者中(83%比46%,P <0.05)。由于男性血管发育异常病变和小肠外主要发现的发病率较高,所以其视频胶囊内镜总体诊断率较高。
     
    局限性
    回顾性研究,缺乏有关视频胶囊内镜的研究信息,最近不明原因的出血事件发生,门诊病人同病数据。
     
    结论
    住院病人视频胶囊内镜检查的整体诊断率较高。而且由于男性病人血管发育异常病变和小肠外的发现的发病率较高,所以男性在住院病人和门诊病人视频胶囊内镜研究中更容易表现出重大的发现。
     
    缩写词:VCE,视频胶囊内镜
     
     
     
    Impact of inpatient status and gender on small-bowel capsule endoscopy findings
    Background
    Video capsule endoscopy (VCE) is most commonly performed in the outpatient setting to evaluate obscure GI bleeding.
    Objective
    To determine the impact of gender and inpatient status on VCE findings.
    Design
    Retrospective study.
    Setting
    Two tertiary medical centers and a VA medical center.
    Patients
    A total of 167 inpatients and 540 outpatients undergoing 707 VCE examinations for obscure GI bleeding.
    Interventions
    VCE study.
    Main outcome measurements
    Patient age, sex, indication for VCE, gastric and small-bowel transit times, significant VCE findings including detection of blood in the lumen and major lesions outside the small bowel, and presence of comorbid conditions.
    Results
    Significant VCE findings were identified more frequently during inpatient VCE examinations (48% vs 37%, P = .009). Endoscopic placement, nongastric passage, and incomplete studies to the cecum were more common for inpatient VCE examinations. Gastric transit time, but not small-bowel transit time, was longer in inpatient VCE studies. Inpatient VCE examinations were more common in male patients (73% vs 61%, P = .004) and patients with overt bleeding (83% vs 46%, P < .05). The overall diagnostic VCE rate was higher for male patients because of a higher prevalence of angiodysplastic lesions and major findings outside the small bowel.
    Limitations
    Retrospective study. Lack of information regarding timing of VCE study, most recent episode of obscure bleeding, and comorbidity data for outpatients.
    Conclusion
    The overall diagnostic yield was higher for inpatient VCE examinations. Male patients were more likely to demonstrate significant findings on both inpatient and outpatient VCE studies because of a higher prevalence of angiodysplastic lesions and findings outside the small bowel.
    (作者:)
相关评论
用户名: 登录