修改的基于位置的切除和丢弃策略的验证需要对西格缩小息肉进行病理检查
Zhiyu Dong1,2, Qiongmei Zhang1, Ye Chen1
1Department of Gastroenterology, Tongji Hospital, Tongji University School of Medicine.
Journal of clinical gastroenterology
|September 21, 2023
概括
修改的基于位置的切除和丢弃 (mLBRD) 策略改善了结肠镜监测与病理学的一致性. 这种新方法提高了微小息肉的准确性,特别是在西格结肠中,减少了不必要的检查.
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:
- 基于位置的切除和丢弃 (LBRD) 策略的性能因监测间隔与病理学一致而有所不同.
- LBRD不依赖光学诊断来进行聚管理.
研究的目的:
- 评估首次结肠镜检查患者的LBRD性能.
- 开发和验证修改后的LBRD (mLBRD) 战略,以提高准确性和效率.
主要方法:
- 注册的首次结肠镜患者具有完整的病理学.
- 通过分析小息肉的不同结肠段的LBRD精度来开发mLBRD.
- 与病理学参考标准对比LBRD和mLBRD之间的监测间隔协议.
主要成果:
- 对于西格结肠多体的LBRD精度仅为53.5%,明显低于其他部分.
- mLBRD与病理学达成了90.2%的一致性,明显优于LBRD (83.4%).
- mLBRD减少了被分配更长监测间隔的患者的比例,并减少了病理学检查超过30%.
结论:
- mLBRD证明了足够的监测间隔与基于病理学的建议一致.
- 在首次结肠镜检查中,mLBRD是比LBRD更有效的策略,用于管理小息肉.
- 该mLBRD战略优化了监测,同时减少了病理学工作量.
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