Prospective evaluation of a new ultrathin one-plane bending videoendoscope for transnasal EGD: a comparative study on performance and tolerance

Prospective evaluation of a new ultrathin one-plane bending videoendoscope for transnasal EGD: a comparative study on performance and tolerance
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DOI:
10.1016/j.gie.2006.11.058
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发表时间:
2007-07-01
影响因子:
7.7
通讯作者:
Ponchon, Thierry
Ponchon, Thierry
中科院分区:
医学1区
文献类型:
--
作者:
Dumortier, Jerome;Josso, Claire;Ponchon, Thierry

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目的:评价一种新型超薄单面弯曲式电子鼻内窥镜治疗鼻内窥镜。设计:单中心、前瞻性、随机研究。地点:爱德华·赫里奥特大学医院。患者:共122例门诊患者(中位年龄49岁[18-81岁])。62名男性和60名女性)根据所使用的内窥镜按2:1随机分为两组:(1)标准的5.9 mm直径的视频内窥镜(80例)或(2)单平面弯曲的高分辨率4.9 mm直径的视频内窥镜(42例)。主要观察指标:操作者通过标准评分或100 mm的视觉评分来评估检查的质量。患者使用100 mm的视觉刻度来量化耐受性。结果:每组的手术持续时间相同。内窥镜直径4.9 mm组鼻腔插管的可行性明显高于内窥镜组(97.61%[41/42例]vs88.75%[71/80例],P
Background: EGD, with small-diameter endoscopes, is routinely performed via a nasal route in adults.Objective: To evaluate a new ultrathin one-plane bending videoendoscope for transnasal EGD.Design: Single center, prospective, randomized study.Setting: Edouard Herriot University Hospital.Patients: A total of 122 outpatients (median age, 49 years [18-81 years], 62 men and 60 women) were randomized into 2 groups (on a 2:1 basis) according to the endoscope used: (1) a standard 5.9-mm-diameter videoendoscope (80 patients) or (2) a one-plane bending high resolution 4.9-mm-diameter videoendoscope (42 patients).Main Outcome Measurements: The operator assessed the quality of examination by using standard scores or a 100-mm visual scale. Patients quantified tolerance by using a 100-mm visual scale.Results: The duration of the procedure was the same in each group. The feasibility of transnasal insertion was significantly higher when using the 4.9-mm-diameter endoscope (97.61% [41/42 patients] vs 88.75% [71/80 patients], P