关于在炎症性肠道疾病中进行内镜性形监测的最新情况
Nayantara Coelho-Prabhu1, James D Lewis2
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
The American journal of gastroenterology
|August 6, 2023
概括
患有炎症性肠病 (IBD) 的患者由于长期的疾病而面临更高的结直肠癌风险. 先进的内镜技术改善了发育不良的检测和管理,减少了切除术的需要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 内镜检查是指内镜检查.
背景情况:
- 医学进步延长了炎症性肠病 (IBD) 患者的预期寿命.
- 长时间的IBD持续时间会增加发育不良以及结直肠癌的风险.
- 已发布的指导方针旨在优化失塑性病变的早期检测和管理.
研究的目的:
- 检查高风险的患者是否患有发育不良.
- 讨论目前的监测结肠镜指南.
- 探索影响粘膜可视化的因素和先进的成像技术.
主要方法:
- 对当前文献和指导方针进行叙述性审查.
- 对增强的内镜成像技术的分析.
- 讨论对失育症的内镜治疗策略.
主要成果:
- 改进的内镜技术提高了失生症的可见性和检测.
- 先进的成像和切除工具有助于患者避免切除.
- 关于随机活检,成像技术和监测间隔的数据存在矛盾.
结论:
- 在指南应用和高级成像培训方面仍然存在显著的变化.
- 优化监测结肠镜检查需要解决实践和技术采用的不一致性.
- 未来的技术有可能改善IBD患者的发育不良检测.
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