Observation on the clinical value of IPCL in gastroesophageal reflux disease
10.3760/cma.j.issn.1674-2907.2011.21.007
- VernacularTitle:放大内镜下胃食管反流病患者食管乳头内毛细血管环形态学观察
- Author:
Hong-Ling TANG
1
;
Jian-Wei WU
;
Yan LEI
;
Li-Man LIN
;
Yu-Zhen JIN
Author Information
1. 深圳市宝安区人民医院
- Keywords:
Gastroesophageal reflux;
Non-erosive reflux disease;
Magnifying endoscopy;
Intraepithelial papillary capillary loop(IPCL)
- From:
Chinese Journal of Modern Nursing
2011;17(21):2496-2498
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of the morphological examination of intrapapillary capillary loop (IPCL) in diagnosis of gastroesophageal reflux disease (GERD) and nursing intervention. Methods 20NERD, 20 erosive esophagi (EE) and 10 healthy volunteers were enrolled in this study, they were assessed with 24 hour ambulatory esophageal pH monitoring and pattern of IPCL which observed by magnifying endoscopy in narrow band imaging (NBI) mode, combined with nursing intervention at the same time. Results Patients receives endoscopic examination successfully. The positive rate of 24 hour ambulatory esophageal pH monitoring was 55% and 90% in the NERD patients and the EE patients, the healthy volunteers were negative. NERD patients were statistically lower than EE patients (P ＜ 0. 05), magnifying endoscopy in narrow band imaging (NBI). Esophageal IPCL showed the regular curl type and small spiral type under the magnifying endoscopy,85.0% sharp of esophageal IPCL in NERD group and 100% in EF group was type Ⅱ, but it still regularly arranged, there was statistically significant difference (X2 = 19.61,30. 00, P ＜ 0. 05). Conclusions The specific morphological changes of IPCL are useful to the endoscopic diagnosis of GERD. High quality nursing intervention is important to endoscopy.
