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内镜胶囊对小肠进行完整和不完整评估的预测因素

PREDICTIVE FACTORS FOR COMPLETE AND INCOMPLETE EVALUATION OF SMALL INTESTINE BY ENDOSCOPIC CAPSULE.

作者信息

Scopel Andréia Sopran, Tabushi Fernando Issamu, Kubrusly Luis Fernando, Poletti Paula Bechara, Parada Artur Adolfo, Moreira Milena Perez, Secchi Thiago Festa

机构信息

Postgraduate Program in Principles of Surgery, Mackenzie Evangelical Faculty of Paraná/Medical Research Institute, Curitiba, PR, Brazil.

Gastrointestinal Endoscopy Service, 9 of July Hospital, São Paulo, SP, Brazil.

出版信息

Arq Bras Cir Dig. 2020 Nov 20;33(2):e1532. doi: 10.1590/0102-672020200002e1532. eCollection 2020.

Abstract

BACKGROUND

Results of CE between groups with or without associated comorbidities. The small-bowel is the most difficult segment to be visualized by traditional endoscopic methods. The need for its exploration led to the development of capsule endoscopy. The percentage of the complete examination varies and still remains uncertain the factors that influence the complete and incomplete examination.

AIM

Evaluate the factors that interfere with the completeness of the endoscopic evaluation by the capsule.

METHODS

A prospective study in which were included 939 patients divided into two groups: complete group (CG) and incomplete group (IG). The studied variables that could interfere were: age, gender, comorbidities, diagnosis of Crohn's disease, previous abdominal surgery, inadequate preparation to compare the groups reached and did not reach the cecum.

RESULTS

Of the 939 patients included 879 (93.3%) reached the cecum (CG) and 63 (6.7%) IG no. The IG was composed of 29 (46.0%) men and 34 (54.0%) women with a mean age of 49.7 years; comorbidities this group accounted for 46% of which 15.9% was Crohn's disease, previous abdominal surgery 22.2% and 17.5% inadequate preparation.

CONCLUSION

Factors associated with complete or incomplete outcome of the examination with capsule endoscopy were: associated comorbidities, Crohn's disease, previous abdominal surgery and inadequate preparation.

摘要

背景

有或无相关合并症的组间胶囊内镜检查结果。小肠是传统内镜检查方法最难观察到的部位。对其进行探查的需求促使了胶囊内镜的发展。完整检查的百分比各不相同,影响完整和不完整检查的因素仍不确定。

目的

评估影响胶囊内镜检查完整性的因素。

方法

一项前瞻性研究,纳入939例患者,分为两组:完整组(CG)和不完整组(IG)。可能产生干扰的研究变量包括:年龄、性别、合并症、克罗恩病诊断、既往腹部手术史、准备不充分,以比较两组是否到达盲肠。

结果

939例纳入患者中,879例(93.3%)到达盲肠(CG),63例(6.7%)未到达(IG)。IG组由29例(46.0%)男性和34例(54.0%)女性组成,平均年龄49.7岁;该组合并症占46%,其中克罗恩病占15.9%,既往腹部手术史占22.2%,准备不充分占17.5%。

结论

与胶囊内镜检查完整或不完整结果相关的因素有:合并症、克罗恩病、既往腹部手术史和准备不充分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a566/7682141/a0abb889ec45/0102-6720-abcd-33-02-e1532-gf1a.jpg

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