Utility of oral rehydration jelly in probe method endoscopic ultrasound: a prospective cohort study.

IF 3.4 3区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Therapeutic Advances in Gastroenterology Pub Date : 2025-10-09 eCollection Date: 2025-01-01 DOI:10.1177/17562848251385069

Shinya Yamada, Hajime Takatori, Masaki Miyazawa, Tomoyuki Hayashi, Akihiro Seki, Hidetoshi Nakagawa, Kouki Nio, Noriho Iida, Tetsuro Shimakami, Taro Yamashita

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引用次数: 0

Abstract

Background: When performing endoscopic ultrasound (EUS) using a miniature probe, filling the lumen with water is necessary. However, because of gravity and peristalsis, satisfactory images are often not obtained. Recently, it has been reported that injecting a viscous gel instead of water could facilitate EUS imaging.

Objectives: To determine if EUS performed with rehydration jelly returned interpretable images when the standard method did not.

Design: Prospective cohort study.

Methods: EUS was first attempted in 50 patients using the conventional water-filling method; in cases where satisfactory images were not obtained, EUS was additionally performed using oral rehydration jelly (OS-1). Five endoscopists evaluated the obtained images, and their outcomes were examined.

Results: Satisfactory images were not obtained in 34 cases when using the water-filling method. The images obtained using the jelly method were improved compared to the water-filling method in 29 cases, with a significant improvement in 18 cases. No complications were observed with the jelly method.

Conclusion: For EUS, the jelly method will likely yield good images when satisfactory image quality cannot be obtained using the water-filling method.

Abstract Image

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口服补液果冻在探针法内镜超声中的应用：一项前瞻性队列研究。

背景：当使用微型探头进行超声内镜检查时，需要向腔内注水。然而，由于重力和蠕动的影响，通常不能获得满意的图像。最近，有报道称注射粘性凝胶代替水可以促进EUS成像。目的：确定用补液果冻进行EUS检查是否能获得可解释的图像，而标准方法不能。设计：前瞻性队列研究。方法：采用常规灌水方法对50例患者进行EUS试验；如果没有获得满意的图像，则使用口服补液果冻（OS-1）进行EUS。五名内窥镜医师评估获得的图像，并检查其结果。结果：34例患者采用灌水法成像效果不理想。与充水法相比，凝胶法获得的图像改善29例，其中显著改善18例。果冻法无并发症发生。结论：对于EUS，当充水法不能获得满意的图像质量时，果冻法有可能获得良好的图像。

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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来源期刊

Therapeutic Advances in Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

6.70

自引率

2.40%

发文量

103

审稿时长

15 weeks

期刊介绍： Therapeutic Advances in Gastroenterology is an open access journal which delivers the highest quality peer-reviewed original research articles, reviews, and scholarly comment on pioneering efforts and innovative studies in the medical treatment of gastrointestinal and hepatic disorders. The journal has a strong clinical and pharmacological focus and is aimed at an international audience of clinicians and researchers in gastroenterology and related disciplines, providing an online forum for rapid dissemination of recent research and perspectives in this area. The editors welcome original research articles across all areas of gastroenterology and hepatology. The journal publishes original research articles and review articles primarily. Original research manuscripts may include laboratory, animal or human/clinical studies – all phases. Letters to the Editor and Case Reports will also be considered.