Analysis and Follow up of Endoscopy Results in 1099 Patients with Terminal Ileum Lesions.
Analysis and Follow up of Endoscopy Results in 1099 Patients with Terminal Ileum Lesions.
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DOI：
10.1155/2020/8838613
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发表时间：
2020
影响因子：
2.7
通讯作者：
Xu C
中科院分区：
文献类型：
--
作者：
Zhong Q;Zhang A;Huang J;Yan W;Lin J;Huang Q;Huang X;Yu T;Zhu L;Xu C
我们的目的是分析回肠末端病变患者的诊断率、诊断准确率和延迟诊断，为疑似患者提供随访建议。 我们对我院2009年至2019年1099例回肠末端病变患者进行了分析。记录末端回肠活检的内镜报告和组织病理学报告。临床诊断和管理进行了审查，以确定是否有必要纠正后，随访内窥镜检查结果。 共发现回肠末端病变1099例，其中良性病变959例（87.26%），恶性病变17例（1.55%），疑似病变123例（11.19%）。回肠末端息肉、囊肿、癌、嗜酸性肠炎、寄生虫、淋巴滤泡增生和淀粉样变性的诊断准确率为100%。9.93%的克罗恩病（CD）和12.5%的淋巴瘤延迟诊断。在确诊病例中，12.5%的患者在随访期间纠正了诊断，17.86%的患者在随访期间纠正了临床治疗。可疑病例中，61.11%的患者在随访中纠正了诊断和治疗。 回肠炎和回肠溃疡的诊断符合率低。在一定比例的回肠末端病变患者中观察到克罗恩病和淋巴瘤的延迟诊断。强烈建议对这些疑似回肠末端病变的患者进行随访内镜检查。
We aim to analyze the diagnostic yield, diagnostic accuracy, and delayed diagnosis of patients with terminal ileum lesions, providing follow-up suggestions for suspected patients. We carried out an analysis of 1099 patients who had terminal ileum lesions in our hospital from 2009 to 2019. The endoscopy reports and histopathology reports of terminal ileal biopsies were recorded. Clinical diagnosis and management were reviewed to determine whether there was a need to correct after a follow-up endoscopy result. A total of 1099 patients were found to have terminal ileum lesions, among which 959 in 1099 patients (87.26%) were diagnosed as benign, 17 in 1099 patients (1.55%) were diagnosed as malignant, and 123 in 1099 patients (11.19%) were diagnosed as suspected. The diagnostic accuracies of terminal ileal polyp, cyst, cancer, eosinophilic enteritis, parasite, lymphofollicular hyperplasia, and amyloidosis were 100%. The diagnosis was delayed in 9.93% of Crohn's disease (CD) and 12.5% of lymphoma. Among the definite cases, the diagnosis was corrected during the follow-up in 12.5% of the patients, while the clinical treatment was corrected during the follow-up in 17.86% of the patients. Among the suspected cases, the diagnosis and treatment was corrected in 61.11% of the patients during the follow-up. Coincident diagnosis of ileitis and ileum ulcer is low. Delayed diagnosis of Crohn's disease and lymphoma were observed in a certain proportion of patients with terminal ileum lesions. A follow-up endoscopy was strongly recommended for these suspected patients with terminal ileum lesions.
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