高容量,低容量,或药丸,我们应该走哪条路? 对肠道准备进行结肠镜检查的审查
Jasmine M Haydel1, Anthony A Xu2, Nabil M Mansour2
1Department of Medicine.
Current opinion in gastroenterology
|December 11, 2023
概括
高质量的结肠镜准备对于检测结肠直肠癌 (CRC) 至关重要. 较新的低容量,当日选项和数字工具可以提高患者的服从性和肠道准备的有效性.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 医疗技术 医疗技术 医学技术
背景情况:
- 结肠直肠癌 (CRC) 是美国癌症死亡的主要原因.
- 结肠镜是CRC的主要查方法.
- 适当的肠道准备对于结肠镜疗效至关重要,但目前仅在约75%的病例中实现.
研究的目的:
- 审查目前对结肠镜检查肠道准备的建议.
- 讨论肠道准备策略的最新进展和更新.
主要方法:
- 审查当前的文献和关于肠道准备的指导方针.
- 分析最近关于新制备方法和附加剂的研究.
主要成果:
- 分剂制备是标准的,但同一天,低体积的选择是不逊色的.
- 低容量聚乙烯甘醇与电解质+甲酸配方提高了制备质量.
- 饮食修改 (低残留饮食) 和数字工具 (人工智能,智能手机应用程序) 改善了结果.
结论:
- 建议对肠道准备采取个性化的方法.
- 较低量的当天制剂提供了更好的患者耐受性和服从性.
- 数字健康工具可以增强患者的教育和遵守准备说明.
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