• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Magnifying gastroscopy using a soft black hood for difficult colonoscopy.
【24h】

Magnifying gastroscopy using a soft black hood for difficult colonoscopy.

机译：放大胃镜检查，使用软黑罩进行困难的结肠镜检查。

获取原文
获取原文并翻译 | 示例
       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Various methods are reported as aids to cecal intubation for cases in which colonoscopy is difficult. This study aimed to investigate prospectively whether a gastroscope with magnification function, narrow-band imaging (NBI), and a soft black hood can aid insertion in cases of difficult colonoscopy and facilitate both accurate diagnosis and safe treatment. METHODS: This prospective study recruited 177 patients. All were examined with a magnifying gastroscope. A commercially available soft black hood was attached to the gastroscope during insertion and magnification. Difficult colonoscopy was anticipated before colonoscopy in cases of patients with at least one of the following factors: low BMI (<20 kg/m(2)), adhesion due to previous surgery, or previous colonoscopy that could not reach to the cecum. The success rate and duration of cecal intubation then were assessed. All detected lesions were evaluated by magnifying NBI and then classified as non-neoplastic or neoplastic for endoscopic diagnosis. Subsequently, all the lesions were removed and examined histologically for comparison. RESULTS: The overall success rate of cecal intubation was 100% (177/177), and the mean time taken to reach the cecum was 5.9 min. A total of 156 lesions were detected endoscopically, and the overall diagnostic accuracy of NBI with magnification was 98.7%. No associated complications occurred. CONCLUSION: Magnifying gastroscopy using a soft black hood and NBI is useful for cecal intubation in cases wherein colonoscopy is difficult, facilitating accurate diagnosis and safe treatment.
机译：背景：据报道，对于结肠镜检查困难的病例，有各种各样的方法可以帮助盲肠插管。这项研究旨在前瞻性地研究具有放大功能，窄带成像（NBI）和柔软的黑头罩的胃镜在结肠镜检查困难的情况下是否可以帮助插入并有助于准确诊断和安全治疗。方法：这项前瞻性研究招募了177例患者。所有这些都用放大胃镜检查。在插入和放大期间，将市售的软黑罩连接到胃镜。患有以下至少一项因素的患者，在进行结肠镜检查之前，预计将难以进行结肠镜检查：BMI低（<20 kg / m（2）），由于先前的手术引起的粘连或先前无法到达盲肠的结肠镜检查。然后评估盲肠插管的成功率和持续时间。通过放大NBI对所有检测到的病变进行评估，然后将其分类为非肿瘤性或肿瘤性内镜诊断。随后，将所有病变去除并进行组织学检查以进行比较。结果：盲肠插管的总成功率为100％（177/177），到达盲肠的平均时间为5.9分钟。内窥镜检查共计156个病变，放大后NBI的总体诊断准确性为98.7％。没有相关的并发症发生。结论：在难以进行结肠镜检查的情况下，使用软黑头罩和NBI进行的放大胃镜检查对于盲肠插管非常有用，有助于准确诊断和安全治疗。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号