지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 619 - 625 (7page)
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초록· 키워드
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Background/Aims: The evaluation of small bowel lesions of Crohn’s disease (CD) using balloon-assisted enteroscopy (BAE) is crucial because mucosal healing is associated with a good prognosis. However, BAE procedures are invasive, requiring sedation or analgesia to reduce the patient’s pain. This study evaluated the clinical usefulness of a novel ultrathin single-balloon enteroscopy (SBE) procedure for CD. Methods: This single-center retrospective study included 102 CD patients who underwent trans-anal SBE between January 2012 and May 2018. Of these patients, 82 underwent enteroscopy using conventional SBE, while 20 underwent ultrathin SBE. Patients were analyzed using propensity score matching, with 20 patients per group. The median duration of the examination, terminal ileum intubation rate, median cecum intubation time, median insertion depth, adverse events, and sedated dose in each group were compared. Results: Before propensity score matching, the conventional SBE group had a larger number of surgical history patients than the ultrathin SBE group (p=0.05). After matching, the two groups did not significantly differ clinically. There were no significant differences in the mean duration of the examination, cecum intubation time, or terminal ileal intubation rate between ultrathin SBE and conventional SBE. The mean insertion depth of ultrathin SBE tended to be deeper than that of conventional SBE (p=0.09). The use of ultrathin SBE also reduced the sedative dose during needed for enteroscopy compared with conventional SBE (p=0.005). Conclusions: Novel ultrathin SBE may be less painful for CD patients than conventional SBE.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Oostenbrug LE / 2006 / Clinical outcome of Crohn’s disease according to the Vienna classification : disease location is a useful predictor of disease course / Eur J Gastroenterol Hepatol 18:255~261
Lescut D / 1993 / Perioperative endoscopy of the whole small bowel in Crohn’s disease / Gut 34:647~649
Otterson MF / 2004 / Radiographic underestimation of small bowel stricturing Crohn’s disease : a comparison with surgical findings / Surgery 136:854~860
Meucci G / 2012 / Prognostic significance of endoscopic remission in patients with active ulcerative colitis treated with oral and topical mesalazine : a prospective, multicenter study / Inflamm Bowel Dis 18:1006~1010
Frøslie KF / 2007 / Mucosal healing in inflammatory bowel disease: results from a Norwegian population-based cohort / Gastroenterology 133:412~422
Lescut D / 1993 / Perioperative endoscopy of the whole small bowel in Crohn’s disease / Gut 34:647~649
Otterson MF / 2004 / Radiographic underestimation of small bowel stricturing Crohn’s disease : a comparison with surgical findings / Surgery 136:854~860
Meucci G / 2012 / Prognostic significance of endoscopic remission in patients with active ulcerative colitis treated with oral and topical mesalazine : a prospective, multicenter study / Inflamm Bowel Dis 18:1006~1010
Frøslie KF / 2007 / Mucosal healing in inflammatory bowel disease: results from a Norwegian population-based cohort / Gastroenterology 133:412~422
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