IF 3.1 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Frontiers in Medicine Pub Date : 2025-02-20 eCollection Date: 2024-01-01 DOI:10.3389/fmed.2024.1515823
Xinlong He, Qing Xu, Hanbing Xue
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摘要

背景:腹痛是一种常见的临床症状,而小肠胶囊内镜(SBCE)在腹痛评估中的作用仍是一个争论不休的话题。本研究旨在探讨影响小肠胶囊内镜在慢性腹痛患者中疗效的因素:本研究回顾性分析了2014年1月至2023年1月期间仁济医院接受SBCE治疗的以慢性腹痛为主诉的患者的病历。收集的数据包括患者的人口统计学特征和相关影响因素,如住院状态、贫血、炎症指标升高、高血压和糖尿病。采用单变量和多变量分析来研究与SBCE转运状态和阳性结果相关的因素:研究共纳入了 524 名患者,其中 113 人出现 DUGT,并根据情况接受了保守观察、药物治疗或内镜干预。总体完成率为 97.1%。在多变量分析中,住院状态、糖尿病和贫血被确定为 DUGT 的风险因素。在 160 个病例中发现了阳性病灶,总病灶检出率为 30.5%。此外,多变量回归分析表明,贫血(血红蛋白 结语:我们的研究发现,住院治疗的 DUGT 病例中,血红蛋白偏高的病例最多:总之,我们的研究发现,住院状态、糖尿病和贫血是慢性腹痛患者出现 DUGT 的重要风险因素。此外,我们还发现 SBCE 在检测慢性腹痛合并贫血和炎症标志物升高患者的病变方面非常有效。
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Factors affecting the efficacy of small bowel capsule endoscopy in patients with chronic abdominal pain.

Background: Abdominal pain is a common clinical symptom, and the role of small bowel capsule endoscopy (SBCE) in the evaluation of abdominal pain remains a subject of ongoing debate. The objective of this study is to investigate the factors influencing the efficacy of SBCE in patients with chronic abdominal pain.

Methods: This study retrospectively analyzed the medical records of patients presenting with chronic abdominal pain as the primary complaint who underwent SBCE at Renji Hospital from January 2014 and January 2023. Data collection included patient demographics and relevant influencing factors, such as hospitalization status, anemia, elevated inflammatory markers, hypertension, and diabetes. Univariate and multivariate analyses were employed to examine the factors associated with SBCE transit status and positive outcomes.

Results: A total of 524 patients were included in the study, of whom 113 presented with DUGT and received conservative observation, pharmacological treatment, or endoscopic intervention as appropriate. The overall completion rate was 97.1%. Hospitalization status, diabetes, and anemia were identified as risk factors for DUGT in multivariate analyses. Positive lesions were detected in 160 cases, yielding an overall lesion detection rate of 30.5%. Furthermore, multivariate regression analysis indicated that anemia (hemoglobin <90 g/L) and elevated inflammatory markers were associated with a higher rate of positivity.

Conclusion: In conclusion, our study found that hospitalization status, diabetes, and anemia as significant risk factors for DUGT in patients with chronic abdominal pain. Furthermore, we found that SBCE is highly effective in detecting lesions in patients with chronic abdominal pain combined with anemia and elevated inflammatory markers.

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来源期刊
Frontiers in Medicine
Frontiers in Medicine Medicine-General Medicine
CiteScore
5.10
自引率
5.10%
发文量
3710
审稿时长
12 weeks
期刊介绍: Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate - the use of patient-reported outcomes under real world conditions - the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines - the scientific bases for guidelines and decisions from regulatory authorities - access to medicinal products and medical devices worldwide - addressing the grand health challenges around the world
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