在最近的结肠镜检查后,是否需要每年通过便免疫化学测试进行查?
Yutaka Okagawa1, Tetsuya Sumiyoshi1, Kota Hanada1
1Department of Gastroenterology Tonan Hospital Hokkaido Japan.
DEN open
|May 21, 2024
概括
对于最近接受全肠镜检查 (TCS) 的患者,可能不需要每年进行便免疫化学测试 (FIT). 一项研究发现,最近TCS患者的晚期瘤检测率较低,这表明个性化查.
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:
- 日本的指导方针建议每年进行便免疫化学测试 (FIT) 进行结直肠癌查.
- 关于最近接受全结肠镜检查 (TCS) 的人每年需要FIT的必要性,没有确立的共识.
研究的目的:
- 评估每年对患者进行FIT查的必要性,这些患者在最近的TCS后获得了FIT结果.
- 为了比较最近有或没有TCS病史的患者中晚期瘤和结直肠癌的检测率.
主要方法:
- 机会性查对671名FIT阳性患者的回顾性审查 (2017年4月至2022年3月).
- 患者被分为两组:在过去5年内发生过TCS的患者和没有发生过的患者.
- 两组之间先进瘤,结直肠癌和腺瘤检测率的比较.
主要成果:
- 151名患者最近有TCS,而520人没有.
- 在以前的TCS组中,先进瘤检测率为4.6%,而在没有先前的TCS组中为12.1% (p < 0.01).
- 结肠直肠癌检测率分别为0.7%和1.5% (没有显著差异). 瘤检测率在各组之间是相似的 (33.8%对40.0%).
结论:
- 很少有患者在最近的TCS后呈阳性FIT,被诊断为晚期瘤.
- 对于先前有腺瘤病变的患者,请遵循标准监测协议,而不是每年FIT.
- 在没有先前腺瘤病变的患者中,是否需要每年FIT需要进一步的前性评估.
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