Pride Veterinary Centre, Derby, UK.
Bridge Pathology Ltd, Bristol, UK.
Vet Rec. 2018 Nov 24;183(20):624. doi: 10.1136/vr.104742. Epub 2018 Aug 16.
Various types of endoscopic biopsy forceps have been investigated in dogs. The Multibite (MB) are multiple-bite forceps that collect up to four tissue specimens in a single pass through the endoscope, reducing procedure time. The authors prospectively investigated its clinical utility by comparing procedure times and diagnostic quality of samples obtained with the MB to that of biopsies performed with a single-bite forceps (SB), in 21 dogs with gastrointestinal disorders. When comparing the depth, crush artefacts and diagnostic adequacy of the gastric and duodenal biopsies, there was no significant difference between the MB and SB forceps. The procedure time was significantly longer with the MB. There was no learning curve effect, and there were no reported adverse events. This study failed to demonstrate any significant clinical advantage associated with the use of the Multibite forceps over that of conventional disposable SB forceps.
已经在犬中研究了各种类型的内镜活检钳。Multibite(MB)是一种多咬活检钳,可在单次通过内镜时采集多达四个组织标本,从而缩短了手术时间。作者通过比较 21 只患有胃肠道疾病的犬中使用 MB 和单咬活检钳(SB)获得的样本的操作时间和诊断质量,前瞻性地研究了其临床实用性。当比较胃和十二指肠活检的深度、压碎伪影和诊断充分性时,MB 和 SB 活检钳之间没有显著差异。MB 的手术时间明显更长。没有学习曲线效应,也没有报告不良事件。这项研究未能证明使用 Multibite 活检钳与使用传统一次性 SB 活检钳相比有任何显著的临床优势。