建立用于转移大型非形结直肠息肉的标准:使用修改后的Delphi过程的国际专家共识
Kareem Khalaf1, Samir Seleq1, Michael J Bourke2
1Division of Gastroenterology, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada; Canadian Endoscopy Research Network (CanENDO), Canada.
Gastrointestinal endoscopy
|February 8, 2024
概括
建立指导大结直肠息肉的最低标准可以改善内镜切除计划. 这种共识旨在通过更好的分类和技术选择来加强结直肠癌 (CRC) 预防和降低死亡率.
科学领域:
- 胃肠病学和内镜检查
- 结肠直肠癌 预防 预防
- 建立医学共识 建立医学共识
背景情况:
- 结肠直肠聚切除可以减少癌症发病率和死亡率.
- 大型非脚的息肉需要专家推进行内镜切除.
- 标准化推信息对于有效的分拣和规划至关重要.
研究的目的:
- 为了建立指导大型非形结肠多体的最低预期标准.
- 定义治疗内镜医生管理这些病变的基本信息.
主要方法:
- 采用了Delphi方法,涉及国际内镜专家.
- 有目的的抽样招募了24名国际专家.
- 为了达成关于转介标准的共识,进行了三轮调查.
主要成果:
- 在关于转诊大结直肠多瘤的19个陈述上达成共识.
- 确定的关键因素包括患者人口统计,药物,病变特征和照片文件.
- 专家们将大多数陈述评为高优先级,平均得分从7.04到9.29.
结论:
- 达成共识的声明将改善对大结直肠多瘤的内镜切除的分拣和规划.
- 标准化推方便治疗内镜医生选择最佳的技术.
- 加强大息肉的管理有助于减少结直肠癌的发病率和死亡率.
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