对整个结肠进行结肠镜检查的有效性:一项随机对照试验
Dong Seok Lee1, Jeong-Seon Ji2, Tae-Geun Gweon3
1Division of Gastroenterology, Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Surgical endoscopy
|September 26, 2024
概括
在结肠镜检查期间重新检查整个结肠显著增加了多和腺瘤检测率,特别是在右结肠. 这一策略有助于识别遗漏的息肉,可能减少间隔癌症.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 预防癌症 预防癌症
背景情况:
- 标准结肠镜检查可能会错过抽取期间的息肉.
- 重新检查右结肠可以提高腺瘤检测率 (ADR).
- 全结肠再检查检测多菌的有效性是未知的.
研究的目的:
- 为了调查是否重新检查整个结肠增加了多和腺瘤的检测.
- 评估第二个退出阶段对聚合物检测率的影响.
主要方法:
- 这是一项随机对照试验,涉及406名年龄在45-75岁之间的患者.
- 患者被分配到对照组 (标准结肠镜检查) 或研究组 (两个额外的戒断阶段).
- 主要终点是多体检测率 (PDR) 和ADR.
主要成果:
- 第二个戒断阶段在整体,右,中,左结肠中增加了多和腺瘤检测.
- PDR和ADR在不同组之间是相似的,除了右结肠.
- 研究小组在第二次戒断后显示出更高的检测率.
结论:
- 在结肠镜检查期间重新检查整个结肠对于检测多重体有好处.
- 这一策略可以帮助在患有间歇性癌症风险的患者中识别隐藏的息肉.
- 全结肠重新检查可以提高结肠镜的诊断产量.
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