| 郭天宇,胡雪,尹静一,等.胃镜检查中影响食管胃连接部可视化程度的相关因素分析[J].安徽医药,2025,29(11):2228-2231. |
| 胃镜检查中影响食管胃连接部可视化程度的相关因素分析 |
| Analysis of related factors affecting the degree of visualization of esophagogastric junction in gastroscopy |
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| DOI：10.3969/j.issn.1009-6469.2025.11.023 |
| 中文关键词: 胃镜检查 食管胃连接部 无痛胃镜 普通胃镜 可视化程度 相关因素 |
| 英文关键词: Gastroscopy Esophagogastric junction Sedated gastroscopy Non-sedated gastroscopy Degree of visualization Associated factors |
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| 中文摘要: |
| 目的分析胃镜检查中可能影响食管胃连接部( EGJ)可视化程度的因素。方法回顾性收集 2022年 10月至 2023年 6月于承德市中心医院内镜中心行胃镜检查的 492例病人资料。评估病人 EGJ展开的完整程度，分为易观察组( n=308)和难观察组( n=184)，采用 χ2检验行单因素分析，差异有统计学意义的变量进入二分类 logistic回归模型分析影响胃镜检查中 EGJ可视化程度的可能因素。结果身体质量指数( BMI)≥24 kg/m2 |
| 英文摘要: |
| Objective To analyze the factors that may affect the degree of visualization of the esophagogastric junction (EGJ) during gastroscopy.Methods We collected data retrospectively from 492 patients who had gastroscopies in Chengde Central Hospital endos-copy center between October 2022 and June 2023. There were 308 patients with an easy-to-observe degree of EGJ enlargement and 184 patients with a difficult-to-observe degree. A single-factor analysis was conducted by means of the Chi-square test. Potential factors onthe degree of EGJ visibility during gastroscopy were investigated by training the binary logistic regression model with statistically signif-icant variables.Results The six independent variables, including body mass index (BMI) ≥24 kg/m2 [38.31%(118/308) vs. 13.59%(25/ 184)], reflux esophagitis [29.87% (92/308) vs. 14.13% (26/184)], gastroesophageal flap valve grade [grade Ⅲ+Ⅳ: 18.83% (58/308) vs. 4.35% (8/184)], hiatal hernia [12.66% (39/308) vs. 4.35% (8/184)], sedation [47.07% (145/308) vs. 67.93% (125/184)], and administra-tion of anticholinergic agents [27.27% (84/308) vs. 15.76% (29/184)], demonstrated statistically significant differences in the EGJ visi-bility score levels between the easy-to-observe group and the difficult-to-observe group during gastroscopy(P<0.05). It was found that se-dation can lessen the degree of EGJ visualization [P<0.001, OR=2.38, 95%CI: (1.55, 3.65)] by multivariate logistic regression analysis.The degree of EGJ visualization can be improved by choline receptor blockers, BMI≥24 kg/m2, gastroesophageal flap valve grade (grade Ⅲ+Ⅳ), and reflux esophagitis (all P<0.05, OR<1).Conclusions The visibility of EGJ is enhanced by choline receptor blockers, BMI≥ 24 kg/m2, gastroesophageal flap valve grade (grade Ⅲ+Ⅳ), and reflux esophagitis. Sedation serves as an independent risk factor for en-doscopically impaired visualization of the EGJ. |
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