计算机断层扫描和内窥镜检查在成人腐蚀性食管损伤中的作用:一项系统综述。

IF 2.6 3区 医学
Elisa Bass, John Asher Jenkins, Juan M Farina, Andrew Saleeb, Staci E Beamer, Dawn E Jaroszewski, Samine Ravanbakhsh, Cecilia Benz, Pedro Reck Dos Santos, Jonathan D'Cunha
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引用次数: 0

摘要

烧灼性食管损伤可引起严重的发病率和死亡率。尽管需要紧急治疗,但个人在诊断和管理方面的经验可能有限。计算机断层扫描(CT)已成为评估损伤严重程度的一种有前途的非侵入性方式,但CT和内窥镜检查的临床应用应进行研究。按照PRISMA的指导方针进行了系统的审查。对PubMed数据库的全面搜索确定了从2000年1月1日到2023年12月31日发表的相关文章。纳入标准包括研究CT和/或内窥镜在诊断和治疗腐蚀性食管损伤中的应用。从931项研究中选择了12篇文章。结果表明,CT对高级别损伤和狭窄形成的诊断能力优于内窥镜,但对低级别损伤的诊断能力较差。结合影像与实验室研究的诊断算法已经出现在文献中,这是有希望的等待额外的验证。CT可以作为一种有价值的、非侵入性的工具,用于初步评估腐蚀性食管损伤,并被认为可以准确预测紧急手术的需要和狭窄形成的风险。然而,CT不应取代而应补充内窥镜的使用,以全面评估这些潜在的高度病态情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The role of computed tomography and endoscopy in caustic esophageal injury in adults: a systematic review.

Caustic esophageal injury can cause severe morbidity and mortality. Despite the need for emergent treatment, individual experience in diagnosis and management can be limited. Computed tomography (CT) has emerged as a promising non-invasive modality for assessing injury severity, but the clinical utility of both CT and endoscopy should be investigated. A systematic review was conducted following PRISMA guidelines. A comprehensive search of the PubMed database identified relevant articles published from January 1, 2000 to December 31, 2023. Inclusion criteria encompassed studies investigating the use of CT and/or endoscopy in diagnosing and managing caustic esophageal injury. Twelve articles were selected from a pool of 931 studies. Findings suggested that CT was superior in diagnostic capability to endoscopy in high-grade injury and stricture formation, but less so for low grade injuries. Diagnostic algorithms incorporating imaging with laboratory studies have emerged in the literature, which are promising pending additional validation. CT can serve as a valuable, non-invasive tool in the initial evaluation of caustic esophageal injury and is postulated to accurately predict both the need for emergent surgery and the risk of stricture formation. However, CT should not replace but rather complement the use of endoscopy to comprehensively evaluate these potentially highly morbid situations.

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来源期刊
Diseases of the Esophagus
Diseases of the Esophagus Medicine-Gastroenterology
自引率
7.70%
发文量
568
期刊介绍: Diseases of the Esophagus covers all aspects of the esophagus - etiology, investigation and diagnosis, and both medical and surgical treatment.
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