The role of a transparent cap in the endoscopic removal of foreign bodies in the esophagus: A propensity score-matched analysis
The role of a transparent cap in the endoscopic removal of foreign bodies in the esophagus: A propensity score-matched analysis
复制标题
透明帽在内窥镜清除食管异物中的作用：倾向评分匹配分析
DOI：
10.1111/1751-2980.12833
复制
发表时间：
2019-12-25
影响因子：
3.5
通讯作者：
Zhang, Shu Tian
中科院分区：
文献类型：
--
作者：
Fang, Rui;Cao, Bin;Zhang, Shu Tian
目的探讨透明帽辅助内镜下食管异物取出术的有效性和安全性。方法回顾性分析2004年10月至2018年7月期间接受透明帽辅助或传统内镜检查的食管异物患者。进行倾向评分匹配。比较两组的手术成功率、手术时间、内镜视野清晰度及不良事件发生率。结果838例食管异物患者中，728例（86.9%）行内镜下介入治疗。经Prospensity评分匹配后，224例患者分别接受透明帽辅助内镜或常规内镜检查。两组的成功率无差异（100% vs 99.1%，P = 0.499）。透明帽辅助内窥镜与较短的手术时间相关，用于清除枣核（[4.24 +/- 2.81] min vs [7.62 +/- 8.15] min，P = 0.001），鱼骨（[2.99 +/- 2.15] min vs [6.49 +/- 6.54] min，P < 0.001）和其他尖锐物体（[4.29 +/- 3.36] min vs [10.60 +/- 19.79 min]，P = 0.027），在提取枣核、鱼骨、禽骨和其他锐器（98% vs43.4%，97.5% vs74.1%，100% vs81.3%和100% vs82.7%; P均< 0.05）。两组间不良事件发生率无显著差异（P = 1.000）。结论透明帽辅助内镜下取食管尖锐异物安全有效。
Objective To investigate the effectiveness and safety of transparent cap-assisted endoscopy in removing foreign bodies in the esophagus. Methods Patients with foreign body lodged in the esophagus who received a transparent cap-assisted or conventional endoscopy between October 2004 and July 2018 were retrospectively enrolled. Propensity score matching was performed. The success rate of the endoscopic procedure, procedure time, clearness of endoscopic view and adverse event rate were compared between the two groups. Results Of the 838 patients who had a foreign body lodged in the esophagus, 728 (86.9%) underwent endoscopic intervention. After matched by prospensity score, 224 patients each received either transparent cap-assisted endoscopy or conventional endoscopy. No difference was noted between the two groups in terms of the success rate (100% vs 99.1%, P = 0.499). Transparent cap-assisted endoscopy was associated with shorter procedure time for removing jujube pits ([4.24 +/- 2.81] min vs [7.62 +/- 8.15] min, P = 0.001), fish bones ([2.99 +/- 2.15] min vs [6.49 +/- 6.54] min, P < 0.001) and other sharp objects ([4.29 +/- 3.36] min vs [10.60 +/- 19.79 min], P = 0.027) and higher rates of clear endoscopic views in extracting jujube pits, fish bones, poultry bones and other sharp objects (98% vs 43.4%, 97.5% vs 74.1%, 100% vs 81.3% and 100% vs 82.7%; all P < 0.05). No significant differences in the rates of adverse event were observed between the groups (P = 1.000). Conclusion Transparent cap-assisted endoscopic technique is effective and safe for removing sharp foreign bodies in the esophagus.