成年患者尾切除术后结肠直肠查:系统性审查
Francesco Esposito1, Marco Del Prete1, Matilde Magri1
1Visceral and Digestive Surgery Unit, Grand Hôpital de l'Est Francilien, Meaux, France.
40岁以上的患者建议在尾切除术后进行结肠直肠查. 这次审查发现查个体的病变检测率显著,包括癌症,这表明早期检测有好处.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 预防医学 预防医学
背景情况:
- 在老年人中,尾炎和结直肠癌之间的联系是已知的.
- 尾切除术后的术后结直肠查不是标准的做法.
- 这项研究解决了对尾切除术后结直肠监测的证据需求.
研究的目的:
- 系统地审查成年患者尾切除术后结直肠查的文献.
- 评估在这个人群中结直肠监测的有效性和发现.
- 提供有关尾切除术后查建议的指导方针.
主要方法:
- 通过在线数据库进行了全面的文献搜索.
- 确定了专注于尾切除术后成年患者结肠直肠监测的研究.
- 2013年至2023年间发表的八篇相关文章被纳入分析.
主要成果:
- 该审查分析了来自八项研究的3,995名患者,大多数的查年龄门为40岁.
- 结肠直肠查在19.3%的患者中进行,主要是通过内镜 (95.2%).
- 在24.0%的查患者中检测到病变,包括腺瘤多 (22.5%) 和结直肠癌 (3.9%),右侧结直肠瘤占显著比例.
结论:
- 40岁以上患者的尾切除术后结肠直肠查与早期发现结肠直肠病变有关.
- 这些发现支持在这个人群中考虑进行常规结直肠查.
- 早期识别聚和癌症可以改善患者的治疗结果.
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