对结直肠瘤内镜切除后的监测:全面的审查
Kinichi Hotta1, Takahisa Matsuda2, Yasushi Sano3
1Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan.
Digestion
|November 21, 2024
概括
在结直肠瘤切除后制定最小的监测计划对于减少癌症发病率和死亡率至关重要. 根据风险分层和新证据,指南正在不断发展,以优化患者的治疗结果和生活质量.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 结直肠瘤内镜切除后的监测旨在降低结直肠癌 (CRC) 发病率和死亡率.
- 由于内镜容量有限,最少的,具有成本效益的监测计划是可取的.
- 国际指导方针 (ESGE,USMSTF) 和日本指导方针对风险进行分层,并提出监控协议.
研究的目的:
- 总结一下随机对照试验,评估内镜切除后的监测间隔.
- 为了比较大肠直肠瘤监测的国际和日本指南.
- 突出日本监控指南的发展和原则.
主要方法:
- 关键的随机对照试验的总结 (NPS,诺丁汉研究,JPS).
- 欧洲胃肠内镜学会 (ESGE),美国多社会工作组 (MSTF) 和日本指南的比较分析.
- 病变的分类包括低风险腺瘤,高风险腺瘤,晚期瘤,断片切除和状病变.
主要成果:
- 准则根据初始内镜检查结果对风险进行分层分类.
- 监控计划是针对不同的风险群体而定制的.
- 国际和日本的指导方针涉及各种损伤类型和切除方法.
结论:
- 日本已经制定了风险分层监测指南.
- 基于新证据的有效临床利用和修订对于指南的意义至关重要.
- 在日本需要进一步的研究,以解决目前在结直肠癌监测方面的知识差距.
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