Abstract
Objective:To explore the value of gastrointestinal endoscopy in the early diagnosis and treatment of gastrointestinal tumors and lay a foundation for the diagnosis and treatment of gastrointestinal tumors.Methods:One hundred and eight patients with gastrointestinal tumors who were admitted to our hospital from August 2016 to April 2018 were retrospectively analyzed and divided into observation group and control group according to different diagnostic methods, 54 cases in each group. The control group was treated with traditional endoscopy (white light imaging) and traditional surgery, while the observation group underwent narrow band imaging (NBI) based on endoscopic examination and endoscopic mucosal resection. The image quality scores (morphological image, gastric pit image and capillary image), diagnostic accuracy, surgery related clinical indicators (operation time, intraoperative bleeding volume, hospitalization days) and complications were observed and compared between the two groups.Results:The morphological image, gastric pit image and capillary image scores of the observation group were higher than those of the control group (P<0.05). The diagnostic accuracy rate of the observation group was 96.30%, which was significantly higher than 75.93% (P<0.05). The operation time and hospitalization days of the observation group were shorter than those of the control group, and the intraoperative bleeding volume of the observation group was less than that of the control group; the differences were statistically significant (P<0.05). The incidence of complications of the observation group was lower than that of the control group, and the difference was statistically significant (P<0.05).Conclusion:Gastrointestinal endoscopy can accurately identify the pathological changes of tumors in the early diagnosis and treatment of gastrointestinal tumors, improve the diagnostic accuracy rate, and guide the implementation of treatment measures to improve clinical indicators. Moreover the incidence of postoperative complications is low. It is worth clinical promotion.
Highlights
Gastrointestinal tumor, a kind of common malignant tumor in clinics, includes gastric tumor, esophageal tumor rectal tumor, colon tumor, etc.[1,2] In recent years, due to the influence of different factors, the incidence of digestive tract malignant tumors in China is increasing, seriously endangering the lives and health of patients.[3]
Studies show that narrow band imaging (NBI) magnifying endoscopy could clearly observe the fine structure of the digestive tract to make early cancer in the digestive tract being diagnosed effectively and treated by minimally invasive treatment.[8,9]
In order to explore the application value of digestive endoscopy in early gastrointestinal tumor, 54 patients with early gastrointestinal tumors who were diagnosed and treated by NBI endoscopy in our hospital were selected as observation group, and 54 patients with early gastrointestinal tumor who were diagnosed by traditional endoscopy and treated by conventional surgery in the same period were selected as control group, and the diagnosis and treatment effect of the two groups were compared
Summary
Gastrointestinal tumor, a kind of common malignant tumor in clinics, includes gastric tumor, esophageal tumor rectal tumor, colon tumor, etc.[1,2] In recent years, due to the influence of different factors, the incidence of digestive tract malignant tumors in China is increasing, seriously endangering the lives and health of patients.[3]. Digestive endoscopy has gradually evolved from a traditional diagnostic tool to a diagnostic and therapeutic tool.[7] Studies show that narrow band imaging (NBI) magnifying endoscopy could clearly observe the fine structure of the digestive tract to make early cancer in the digestive tract being diagnosed effectively and treated by minimally invasive treatment.[8,9] In order to explore the application value of digestive endoscopy in early gastrointestinal tumor, 54 patients with early gastrointestinal tumors who were diagnosed and treated by NBI endoscopy in our hospital were selected as observation group, and 54 patients with early gastrointestinal tumor who were diagnosed by traditional endoscopy (white light imaging) and treated by conventional surgery in the same period were selected as control group, and the diagnosis and treatment effect of the two groups were compared
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