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引用次数: 0
摘要
背景：最近，计算机辅助检测技术ENDOANGEL（EN）系统和水交换（WE）辅助结肠镜检查均被证明可提高结直肠腺瘤检出率（ADR）：本研究旨在比较EN和WE辅助结肠镜检查的ADR：设计：这是一项回顾性研究：方法：连续分析 2021 年 10 月至 2022 年 8 月期间接受 EN 或 WE 辅助结肠镜检查的患者数据。主要结果指标为 ADR：发现EN组和WE组的ADR相似，EN组199名患者中有80名（40.2%）发生ADR，而WE组174名患者中有78名（44.8%）发生ADR[1.21；95%置信区间（CI），0.80-1.83]。在对混杂因素进行调整后，使用稳定的反概率治疗加权法进行分析，两种结肠镜检查方法在ADR方面的表现相似（1.41；95% CI，0.88-2.27）：结论：在结肠镜检查过程中，EN 与 WE 在 ADR 方面的表现相当，两种方法在临床实践中均可有效使用。
ENDOANGEL versus water exchange for the detection of colorectal adenomas.
Background: Recently, the ENDOANGEL (EN) system, a computer-assisted detection technique, and water exchange (WE) assisted colonoscopy have both been shown to increase the colorectal adenoma detection rate (ADR).
Objectives: The aim of this study was to compare the ADR between EN- and WE-assisted colonoscopy.
Design: This was a retrospective study.
Methods: Data from patients who underwent either EN- or WE-assisted colonoscopy between October 2021 and August 2022 were analysed consecutively. The primary outcome measure was the ADR.
Results: The ADR was found to be similar between the EN and WE groups, with 80 out of 199 (40.2%) patients in the EN group compared to 78 out of 174 (44.8%) patients in the WE group [1.21; 95% confidence interval (CI), 0.80-1.83]. In the analysis using stabilized inverse probability treatment weighting after adjustment for confounding factors, both colonoscopy methods had similar performance in terms of ADR (1.41; 95% CI, 0.88-2.27).
Conclusion: EN was found to be comparable to WE in terms of ADR during colonoscopy, and both methods may be effectively used in clinical practice.
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.
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