在2023年进行高质量,安全,经济有效和高效的基本结肠镜检查:两位专家的建议
Joseph C Anderson1,2,3, Douglas K Rex4
1Division of Gastroenterology, Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.
通过最佳的准备,导航和息肉检测技术,最大限度地提高结肠镜质量. 遵守指导方针可以确保预防结直肠癌的安全性,效率和成本效益.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠癌查 结肠直肠癌查
背景情况:
- 常规结肠镜检查对于预防结肠直肠癌至关重要.
- 优化结肠镜质量影响疗效,安全性和成本效益.
研究的目的:
- 为最大限度地提高结肠镜检查质量提供基于证据的建议.
- 为了提高多体检测,患者安全和程序效率.
主要方法:
- 专家共识和对已发表证据的审查.
- 专注于结肠准备,管输液,安全措施,多体检测和切除技术.
主要成果:
- 最佳的准备包括分期或同一天的低体积疗法.
- 详细介绍了切卡管道输入和导航结肠解剖学的技术.
- 通过避免阻力和在sigmoid中使用浸泡水来提高安全性.
- 高腺瘤检测率 (ADR) 是必不可少的,查的目标是50%.
- 对于小于10毫米的息肉,冷切除是首选的.
- 遵守监控指南可以防止过度使用.
结论:
- 实施这些建议可以提高结肠镜检查的质量.
- 高质量的结肠镜检查是有效预防CRC的关键.
- 将程序质量与适当的利用相平衡,可以确保成本效益.
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