|
|
胃镜在儿童上消化道疾病中的应用及研究进展
|
Abstract:
胃镜因其诊断准确率高，且少有严重并发症的报道，还具有操作简单、创伤小、恢复快，可以进行活检及治疗等优点而被广泛应用于临床。随着经济和技术的发展，可将其大规模应用于儿童。但儿童胃镜与成人相比，掌握胃镜检查的适应症，做好胃镜检查的准备工作、术中操作方法、术后注意事项等至关重要，在这篇综述中，我将总结现有的研究，综合近年来有关胃镜在儿童上消化道疾病中的应用及相关研究来进行讨论。
Gastroscopy is widely used in clinical practice due to its high diagnostic accuracy, few reports of se-rious complications, simple operation, minimal trauma, fast recovery, and the ability to perform biopsy and treatment. With the development of economy and technology, it can be widely applied to children. However, compared to adults, it is crucial to master the indications for gastroscopy in children, prepare for gastroscopy, intraoperative procedures, and postoperative precautions. In this review, I will summarize existing research and discuss the application and related research of gas-troscopy in upper gastrointestinal diseases in children in recent years.
| [1] | Feng, G., et al. (2019) Disease Spectrum Analysis of Hospitalized Children in China: A Study of 18 Tertiary Children’s Hospitals. Pediatric Investigation, 3, 159-164. https://doi.org/10.1002/ped4.12144 |
| [2] | 何小城, 罗威耀, 何昀, 刘国栋. 小儿无痛胃镜在儿童消化道疾病中的临床应用[J]. 深圳中西医结合杂志, 2019, 29(13): 96-98. |
| [3] | 2010年第三届中国经自然腔道内镜外科大会暨第六届中国纳米生物技术大会上[J]. 中国现代医学杂志, 2011, 21(34): 4378-4380. |
| [4] | 江米足. 儿童消化内镜的发展与思考[J]. 中国当代儿科杂志, 2022, 24(4): 350-353. |
| [5] | Tang, Z., et al. (2018) The Characteristics of 83 Giant Peptic Ulcers in Chinese Children: Evaluation and Follow-up. Saudi Journal of Gastroenterology, 24, 360-364. https://doi.org/10.4103/sjg.SJG_147_18 |
| [6] | 高利伟, 赵长安, 刘鸿. 儿童上消化道疾病发病特点及胃镜检查的应用研究[J]. 中华临床医师杂志(电子版), 2016, 10(6): 780-784. |
| [7] | Gadgade, B.D., Annigeri, V.M., Halageri, A. and Bagalkot, P. (2018) Usefulness of Upper Gastrointestinal Endoscopy in Children. African Journal of Paediatric Surgery, 15, 135-137. |
| [8] | 李兆申, 张菂. 消化内镜进入新时代[J]. 中华消化杂志, 2021, 41(6): 361-365. |
| [9] | 汤泊夫, 年媛媛, 党彤. 激光共聚焦显微内镜在消化系统疾病中的应用进展[J]. 中华消化内镜杂志, 2022, 39(2): 164-168. |
| [10] | He, Y.S., Su, J.R., Li, Z., Zuo, X.L. and Li, Y.Q. (2019) Application of Ar-tificial Intelligence in Gastrointestinal Endoscopy. Journal of Digestive Diseases, 20, 623-630. https://doi.org/10.1111/1751-2980.12827 |
| [11] | 邹文斌, 等. 我国消化内镜领域行业现状及展望[J]. 中华消化内镜杂志, 2023, 40(3): 169-172. |
| [12] | Amornyotin, S., et al. (2009) Experience of Intravenous Sedation for Pediatric Gastrointestinal Endoscopy in a Large Tertiary Referral Center in a Developing Country. Pediatric Anesthesia, 19, 784-791.
https://doi.org/10.1111/j.1460-9592.2009.03063.x |
| [13] | Tringali, A., et al. (2017) Pediatric Gastrointestinal Endos-copy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Guideline Executive Summary. Endoscopy, 49, 83-91. https://doi.org/10.1055/s-0042-111002 |
| [14] | Orel, R., et al. (2015) Review on Sedation for Gastrointestinal Tract Endoscopy in Children by Non-Anesthesiologists. World Journal of Gastrointestinal Endoscopy, 7, 895-911. https://doi.org/10.4253/wjge.v7.i9.895 |
| [15] | Yang, S.M., et al. (2020) Effects of Sedation Performed by an Anes-thesiologist on Pediatric Endoscopy: A Single-Center Retrospective Study in Korea. Journal of Korean Medical Science, 35, e183.
https://doi.org/10.3346/jkms.2020.35.e183 |
| [16] | Coté, C.J. and Wilson, S. (2019) Guidelines for Monitoring and Management of Pediatric Patients before, during, and after Sedation for Diagnostic and Therapeutic Procedures. Pediat-rics, 143, e20191000.
https://doi.org/10.1542/peds.2019-1000 |
| [17] | Januszewicz, W. and Kaminski, M.F. (2020) Quality Indicators in Diagnostic Upper Gastrointestinal Endoscopy. Therapeutic Advances in Gastroenterology, 13, Article ID: 1756284820916693.
https://doi.org/10.1177/1756284820916693 |
| [18] | Feng, S.M., et al. (2020) Development and Characterization of a New Dimethicone Nanoemulsion and Its Application for Electronic Gastroscopy Examination. International Journal of Nanomedicine, 15, 5405-5416.
https://doi.org/10.2147/IJN.S251113 |
| [19] | 雷曙光, 等. 西甲硅油与二甲硅油消泡性能对比研究[J]. 药物分析杂志, 2012, 32(2): 296-300, 295. |
| [20] | 王晓雄, 等. 二甲硅油散不同给药方式对肠道清洁祛除泡沫的效果观察[J]. 宁夏医科大学学报, 2020, 42(4): 391-395. |
| [21] | 陈肖平, 等. 胃镜检查中二甲硅油散的合理应用对视野清晰度及检查时间的影响[J]. 中国保健营养, 2021, 31(13): 249-250. |
| [22] | Monrroy, H., et al. (2018) Use of N-Acetylcysteine Plus Simethicone to Improve Mucosal Visibility during Upper GI Endoscopy: A Double-Blind, Randomized Controlled Trial. Gastrointestinal Endoscopy, 87, 986-993.
https://doi.org/10.1016/j.gie.2017.10.005 |
| [23] | 欧阳红娟, 等. 西甲硅油在儿童电子胃镜胃体胃底观察中的价值[J]. 中国医师杂志, 2017, 19(5): 757-758. |
| [24] | 吴婕, 王胜楠, 丁俊杰, 黄瑛. 儿童胃镜检查前不同时点口服或不口服西甲硅油胃镜视野清晰度的随机平行对照试验[J]. 中国循证儿科杂志, 2015, 10(4): 245-249. |
| [25] | 中华医学会消化内镜学分会儿科协作组. 中国儿童胃镜结肠镜检查规范操作专家共识[J]. 中华消化内镜杂志, 2019, 36(1): 6-9. |
| [26] | 熊鑫, 等. 食管上段胃黏膜异位内镜下合并症的研究[J]. 中国内镜杂志, 2021, 27(4): 1-6. |
| [27] | Canakis, A., et al. (2022) The Diagnostic Performance of Probe-Based Confocal Laser Endomicroscopy in the Detection of Gastric Cancer: A Systematic Review and Meta-Analysis. Annals of Gastroenterology, 35, 496-502.
https://doi.org/10.20524/aog.2022.0741 |
| [28] | Lightdale, J.R., et al. (2014) Modifications in Endoscopic Practice for Pediatric Patients. Gastrointestinal Endoscopy, 79, 699-710. https://doi.org/10.1016/j.gie.2013.08.014 |
| [29] | 方莹. 儿童消化道异物的内镜处理[J]. 中华消化内镜杂志, 2017, 34(2): 80-82. |
| [30] | 段天英, 等. 应用金属支架治疗儿童难治性食管良性狭窄的临床价值[J]. 世界华人消化杂志, 2015(1): 99-103. |
| [31] | 黄志华, 郑跃杰. 《儿童粪菌移植技术规范的共识》解读[J]. 中国微生态学杂志, 2017, 29(10): 1188-1191. |
| [32] | Ikenberry, S.O., et al. (2011) Management of Ingested foreign Bodies and Food Impactions. Gastrointestinal Endoscopy, 73, 1085-1091. https://doi.org/10.1016/j.gie.2010.11.010 |
| [33] | Pearson, E.G., et al. (2010) Reflux Esophageal Stricture—A Re-view of 30 Years’ Experience in Children. Journal of Pediatric Surgery, 45, 2356-2360. https://doi.org/10.1016/j.jpedsurg.2010.08.033 |
| [34] | 杨静, 等. 小儿食管良性狭窄内镜下扩张治疗的效果分析[J]. 中华消化内镜杂志, 2016, 33(6): 375-378. |
| [35] | Ozdemir, R., Bayrakci, B., Tek？am, O., Yal？in, B. and Kale, G. (2012) Thirty-Three-Year Experience on Childhood Poisoning. The Turkish Journal of Pediatrics, 54, 251-259. |
| [36] | Wang, S., et al. (2022) Pediatric Esophagogastroduodenoscopy in China: Indications, Diagnostic Yield, and Factors Associated with Findings. BMC Pediatrics, 22, Article No. 522. https://doi.org/10.1186/s12887-022-03558-x |
| [37] | 余熠, 许春娣. 儿童幽门螺杆菌感染的临床表现、诊断及治疗[J]. 临床儿科杂志, 2011, 29(10): 910-914. |
| [38] | 蒋远洪. 无痛胃镜在不同人群中的应用进展[J]. 中国内镜杂志, 2015, 21(2): 163-165. |
| [39] | Kinoshita, Y., Ishimura, N., Oshima, N. and Ishihara, S. (2015) Systematic Review: Eosin-ophilic Esophagitis in Asian Countries. World Journal of Gastroenterology, 21, 8433-8440. https://doi.org/10.3748/wjg.v21.i27.8433 |
| [40] | 贾栋, 等. 嗜酸性粒细胞性食管炎的诊断进展[J]. 胃肠病学和肝病学杂志, 2023, 32(4): 452-457. |
| [41] | 李小桂. 无痛胃镜检查的临床应用现状[J]. 中外医学研究, 2019, 17(3): 180-182. |
