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在结直肠多切除后的监测
Sandra Baile-Maxía1, Rodrigo Jover1
1Gastroenterology Department, Hospital General Universitario Dr. Balmis, Instituto de Investigación Biomédica ISABIAL, Universidad Miguel Hernández, Alicante, Spain.
对结直肠癌 (CRC) 进行向的多角切除术后监测至关重要. 指导方针各不相同,强调对高风险息肉的监测,如大型腺瘤或患有松动性质的息肉,但对其他息肉的证据有限.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 预防医学 预防医学
背景情况:
- 术后的监测降低了结直肠癌 (CRC) 的发生率.
- 目前的监测指南存在重大差异,并且经常依赖替代标记,而不是直接的CRC风险.
- 结肠镜检查单位的负担需要有针对性的监测策略.
研究的目的:
- 审查证据支持多肉切除术后的监测.
- 为了比较当前关于多监测的主要指导方针.
- 讨论监督建议中的差异.
主要方法:
- 对证据的文献综述,以支持多斑切除术后的监测.
- 更新的主要国际准则的比较分析.
- 讨论证据质量和风险分层.
主要成果:
- 患有大腺瘤 (≥10毫米) 或高度发育不良的患者,以及患有发育不良的状息肉 (≥10毫米) 的患者,通常适用于监测.
- 没有这些高风险特征的患者的监测证据不太确立.
- 关于监测间隔和适应症的指导方针存在显著差异.
结论:
- 监测应针对患有高风险息肉的患者,以优化资源配置.
- 需要进一步的研究,以澄清低风险的息肉病例的监测建议.
- 基于强有力的证据协调指南对于有效的CRC预防至关重要.
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