大型结直肠多体的内镜照相记录的频率
Afshin A Khan1, Muhammad Talal Sarmini2, Ruth Bell1
1Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
在结肠镜检查期间建议对大息肉进行摄影记录 (PD),但未得到充分利用,尤其是在切除后. 诸如内镜师子专业和多负担等因素影响了PD率,突出了结直肠癌查质量改善的领域.
科学领域:
- 胃肠病学和内镜检查
- 结肠直肠癌查 结肠直肠癌查
- 改善医疗质量 改善医疗质量
背景情况:
- 结肠镜质量对于降低结肠直肠癌 (CRC) 发病率和死亡率至关重要.
- 建议在切除前对大息肉 (LPs,≥10毫米) 进行摄影记录,并建议在切除后进行摄影记录.
- 没有先前的研究评估了LP PD的频率.
研究的目的:
- 在结肠镜检查期间评估LP的PD频率.
- 为了确定与LP的PD相关的因素.
主要方法:
- 对1322个带有LP切除的结肠镜的回顾性审查 (2016-2021年).
- 收集了关于切割前和切割后PD频率和相关因素的数据.
- 使用单变量和多变量分析来评估影响因素.
主要成果:
- 在切割前的82%和切割后的52%,LP的PD发生.
- 与切除前PD相关的因素包括内镜师子专业,LP数量和停药时间.
- 与胃肠外科医生相比,结肠直肠外科医生在切除前的PD几率较低.
结论:
- 这项研究提供了LP PD频率的第一个数据,为未来的质量基准评估提供了信息.
- 这些发现突显了PD实践的变化,特别是切除后的做法.
- 需要进一步的研究来了解PD对元慢性晚期瘤的影响.
更多相关视频
03:44Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
Published on: July 11, 2025
03:01Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
Published on: August 2, 2024
相关概念视频
Endoscopic Procedures II: Colonoscopy
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Procedures III: Video Capsule Endoscopy
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Endoscopic Procedures V: ERCP
Patient...
