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The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology最新文献

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Age Is a Risk Factor for Gastroscopy-Assisted Capsule Endoscopy in Children. 年龄是儿童接受胃镜辅助胶囊内镜检查的风险因素。
Hongli Wang, Jing Xie, L. Ren, Defeng Liang, L. Xiong, Liying Liu, Wanfu Xu, S. Gong, L. Geng, Pei-yu Chen
BACKGROUND/AIMSThe aim of this study was to explore the risk factors for the incidence of gastroscopy-assisted capsule endoscopy and the small bowel transit time in pediatric patients who underwent capsule endoscopy examination.MATERIALS AND METHODSA retrospective analysis was performed to analyze the clinical data collected from pediatric patients who underwent capsule endoscopy examination.RESULTSA total of 239 pediatric patients were enrolled in this study. About 196 (82.0%) patients completed the entire small bowel capsule endoscopy examination, while 3 (1.3%) patients were subjected to capsule retention. Only age, not gender, height, body weight, body mass index, chief complaint, and intestinal preparation medications, has been identified as a risk factor for the incidence of gastroscopy-assisted capsule endoscopy (P < .05) by multivariate logistic regression. Further analysis showed that the small bowel transit time in the self-swallowed group was shorter than that in the gastroscopy-assisted group, while no significant difference was obtained in other factors, including intestinal preparation medications, metoclopramide, and lesions in the small intestine, which did not significantly affect small bowel transit time compared with the corresponding control group (P > .05).CONCLUSIONA comprehensive assessment is required before performing capsule endoscopy, because age has been identified as a critical risk factor for the incidence of gastroscopy-assisted capsule endoscopy in pediatric patients.
背景/目的本研究旨在探讨接受胶囊内镜检查的儿科患者接受胃镜辅助胶囊内镜检查的风险因素和小肠转运时间。结果本研究共纳入239名儿科患者。约 196 名(82.0%)患者完成了整个小肠胶囊内镜检查,3 名(1.3%)患者出现胶囊滞留。通过多变量逻辑回归发现,只有年龄(而非性别、身高、体重、体重指数、主诉和肠道制剂药物)是胃镜辅助胶囊内镜检查发生率的风险因素(P < .05)。进一步分析表明,自吞组的小肠转运时间短于胃镜辅助组,而其他因素,包括肠道准备药物、甲氧氯普胺和小肠病变,与相应的对照组相比无显著差异,这些因素对小肠转运时间无明显影响(P > .05)。结论 在进行胶囊内镜检查前需要进行全面评估,因为年龄已被确定为儿科患者胃镜辅助胶囊内镜检查发生率的关键风险因素。
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The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology
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