炎症性肠病儿童胶囊内窥镜检查小肠运输时间的预测因素。

Itsuhiro Oka, Rie Funayama, Hirotaka Shimizu, Ichiro Takeuchi, Shuko Nojiri, Toshiaki Shimizu, Katsuhiro Arai
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摘要

目的:辅助装置的发展使儿童胶囊内窥镜检查的性能成为可能。预测胶囊的运输时间可能会影响调查的有效性,并可能最大限度地减少禁食时间。本研究确定了患有炎症性肠病的儿童和青少年进行小肠胶囊内窥镜检查时小肠运输时间的预测因素。方法:我们回顾性研究了在日本一家三级保健儿童医院接受胶囊内窥镜检查的18岁以下患有炎症性肠病的儿童和青少年。采用带解释变量的多元回归分析小肠运输时间预测因子。结果:总体而言,92例1-17岁炎症性肠病患者(63例克罗恩病和29例溃疡性结肠炎)接受了影响小肠运输时间的因素检查。在简单回归分析中,诊断、年龄、身高、体重、血清白蛋白、全身麻醉、小肠病变与小肠运输时间显著相关。在多元回归分析中,血清白蛋白(部分回归系数:-58.9,p=0.008)、全身麻醉(部分回归系数:127,p0.001)和小肠病变(部分回归系数:30.1,p=0.037)与小肠运输时间有显著相关性。结论:在患有炎症性肠病的儿童和青少年中,低白蛋白血症、全麻内镜下给药和小肠病变似乎是小肠运输时间延长的预测因素。预期结束时间可以改善检查,减少禁食期,这对患者和护理人员都有利。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Predictors of Small Bowel Transit Time for Capsule Endoscopy in Children with Inflammatory Bowel Disease.

Purpose: The development of assistive devices has allowed for the performance of capsule endoscopy in children. Anticipating the capsule's transit time could affect the efficacy of the investigation and potentially minimize the fasting period. This study determined the predictors of small bowel transit time for small-bowel capsule endoscopy in children and adolescents with inflammatory bowel disease.

Methods: We retrospectively examined children and adolescents with inflammatory bowel disease who underwent capsule endoscopy by the age 18 at a Japanese tertiary care children's hospital. Small bowel transit time predictors were analyzed using multiple regression with explanatory variables.

Results: Overall, 92 patients, aged 1-17 years, with inflammatory bowel disease (63 Crohn's disease and 29 ulcerative colitis cases) were examined for factors affecting small bowel transit time. In the simple regression analysis, diagnosis, age, height, weight, serum albumin, general anesthesia, and small intestine lesions were significantly associated with small bowel transit time. In the multiple regression analyses, serum albumin (partial regression coefficient: -58.9, p=0.008), general anesthesia (partial regression coefficient: 127, p<0.001), and small intestine lesions (partial regression coefficient: 30.1, p=0.037) showed significant associations with small bowel transit time.

Conclusion: Hypoalbuminemia, the use of general anesthesia for endoscopic delivery of the capsule, and small intestine lesions appeared to be predictors of prolonged small bowel transit time in children and adolescents with inflammatory bowel disease. Expecting the finishing time may improve examination with a fasting period reduction, which benefits both patients and caregivers.

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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
43
期刊介绍: Pediatric Gastroenterology, Hepatology and Nutrition (Pediatr Gastroenterol Hepatol Nutr), an official journal of The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition, is issued bimonthly and published in English. The aim of Pediatr Gastroenterol Hepatol Nutr is to advance scientific knowledge and promote child healthcare by publishing high-quality empirical and theoretical studies and providing a recently updated knowledge to those practitioners and scholars in the field of pediatric gastroenterology, hepatology and nutrition. Pediatr Gastroenterol Hepatol Nutr publishes review articles, original articles, and case reports. All of the submitted papers are peer-reviewed. The journal covers basic and clinical researches on molecular and cellular biology, pathophysiology, epidemiology, diagnosis, and treatment of all aspects of pediatric gastrointestinal diseases and nutritional health problems.
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