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Tapering body stiffness shortens upper gastrointestinal examination via transoral insertion with ultrathin endoscope

机译:逐渐变细体刚度通过带有超薄内窥镜的传输插入缩短上胃肠检查检查

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Background and study aims?Ultrathin endoscopes are commonly used for surveillance esophagogastroduodenoscopy (EGD) to reduce discomfort associated with scope insertion. However, the flexibility of an ultrathin endoscope is a trade-off between reducing discomfort and lengthening examination time. Patients and methods?The EG17-J10 (EG17) is a novel ultrathin endoscope characterized by its tapering body stiffness; however, the flexibility of its tip is comparable to that of the traditional ultrathin endoscope EG16-K10 (EG16). We compared EGD examination time between EG17 and EG16.?A total of 319 examinees who underwent EGD from November 2019 to January 2020 at the Chiba-Nishi General Hospital were enrolled. Six examinees were excluded due to past history of surgical resection of the upper gastrointestinal tract or too much food residues; 313 examinees (EG17, 209; EG16,104) were retrospectively analyzed. The examination time was divided into three periods: esophageal insertion time (ET), gastroduodenal insertion time (GDT), and surveillance time of the stomach (ST). The total amount of ET, GDT, and ST was defined as total examination time (TT). Results?TT of EGD using EG17 was significantly shorter compared to EGD using EG16 (222.7?±?68.9 vs. 245.7?±?78.5 seconds) (P?=?0.004). Among the three periods of examination time, ET (66.7?±?24.1 vs. 76.0?±?24.1 seconds) (P?=?0.001) and GDT (47.9?±?17.4 vs. 55.2?±?35.2 seconds) (P?=?0.007) of EGD using EG17 were significantly shorter compared to EGD using EG16, except for ST (108.1?±?51.5.1 vs. 114.5?±?50.1 seconds) (P?=?0.148). Conclusion?An ultrathin endoscope with tapering body stiffness can shorten EGD examination time, mainly due to the shortening of insertion time.
机译:背景和研究旨在?超薄内窥镜通常用于监测食道动物疗法(EGD)以减少与范围插入相关的不适。然而,超薄内窥镜的灵活性是降低不适和延长考试时间之间的权衡。患者和方法?EG17-J10(EG17)是一种新型超超内腔,其特征,其特征在于其锥体刚度;然而,其尖端的柔韧性与传统的超薄内窥镜EG16-K10(EG16)的柔韧性相当。我们将EGD考试时间与EG17和EG16之间进行了比较了总共319名董事会从2019年11月到2012年1月20日在千叶市综合医院的入学期间进行的。由于过去的胃肠道或过多的食物残留物的过去的手术切除病史,排除了六次考试;回顾性分析了313次考生(EG17,209; EG16,104)。将检查时间分为三个时期:食管插入时间(ET),胃生成的插入时间(GDT)和胃(ST)的监测时间。 ET,GDT和ST的总量定义为总检查时间(TT)。结果α与EGD使用EG17的EGD的TT,使用EGD(222.7?±68.9与245.7±78.5秒)(p?= 0.004)。在考试时间的三个时期中,等(66.7?±24.1与76.0?±24.1秒)(p?= 0.001)和GDT(47.9?±17.4与55.2?±35.2秒)(P除了ST(108.1≤±51.5.1与114.5,除了使用EGD相比,使用EG17与EGD相比,使用EG17的EGD的EGD的EGD显着较短结论?具有锥体刚度的超薄内窥镜可以缩短EGD检查时间,主要是由于插入时间缩短。

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