Detection of major duodenal papilla using full-spectrum endoscopy: a randomized controlled trial

中华消化内镜杂志 Pub Date : 2019-04-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.04.008

R. Zhang, Xiuxue Feng, Meng Li, Qi-yang Huang

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Abstract

Objective To evaluate the efficiency and safety of full-spectrum endoscopy for detection of major duodenal papilla. Methods Patients underwent painless gastroscopy in Chinese PLA General Hospital from March 2017 to December 2017 were enrolled and randomly divided into two groups according to random number method. The group A underwent conventional gastroscopy, and the group B underwent full-spectrum endoscopy. The detection rate of major duodenal papilla was calculated and compared between the two groups. Results A total of 100 patients were recruited in the study, including 51 in the group A and 49 in the group B. The whole detection rate of major duodenal papilla of the group B was higher than that of the group A [79.59% (39/49) VS 41.18% (21/51), χ2=15.366, P=0.000]. There was no statistical difference on the whole plus partial detection rate of major duodenal papilla between the two groups [100.00% (49/49) VS 92.16% (47/51), χ2=2.221, P=0.136]. All patients completed endoscopy examination succesfully without bleeding, peforation or death. Conclusion With the broad view-field, full-spectrum endoscopy is useful to improve the efficiency and safety in detection of major duodenal papilla. Key words: Endoscopy; Full-spectrum gastroscopy; Major duodenal papilla; Diagnosis

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全谱内窥镜检查十二指肠大乳头:一项随机对照试验

目的评价全谱内镜检查十二指肠大乳头的有效性和安全性。方法选取2017年3月至12月在中国人民解放军总医院行无痛胃镜检查的患者，按随机数法随机分为两组。A组行常规胃镜检查，B组行全谱胃镜检查。计算并比较两组十二指肠大乳头的检出率。结果共纳入100例患者，其中A组51例，B组49例。B组十二指肠大乳头总检出率高于A组[79.59% (39/49)VS 41.18% (21/51)， χ2=15.366, P=0.000]。两组十二指肠大乳头的全检出率和部分检出率比较，差异无统计学意义[100.00% (49/49)VS 92.16% (47/51)， χ2=2.221, P=0.136]。所有患者均顺利完成内镜检查，无出血、穿孔或死亡。结论全谱内镜视野开阔，可提高十二指肠大乳头的检查效率和安全性。关键词:内窥镜检查;全方位胃镜检查;大十二指肠乳头;诊断

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.