优化肠道准备质量进行结肠镜检查:美国结肠直肠癌多社会工作组的共识建议
Brian C Jacobson1,2, Joseph C Anderson3,4,5, Carol A Burke6
1Department of Medicine, Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts, USA.
优化肠道准备进行结肠镜检查至关重要. 更新的指南建议分剂方案和有限的饮食限制,以获得更好的结肠镜检查结果.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠癌查 结肠直肠癌查
- 医学指导方针 医学指导方针
背景情况:
- 美国多社会结肠癌工作组提供了在结肠镜检查前肠道清洁的最新建议.
- 这些指导方针旨在优化平均风险和高风险个体的肠道准备充分性.
研究的目的:
- 提出最新的共识陈述和关键临床概念,以便有效地为结肠镜检查做好肠道准备.
- 提高肠道清洁的质量,确保精确的结肠镜检查结果用于查和监测.
主要方法:
- 美国多社会结直肠癌工作组的共识陈述的制定.
- 关于肠道准备方案,饮食限制和辅助的证据的审查和综合.
主要成果:
- 建议分剂量肠道制备方案,2L可能足够.
- 建议当天的治疗方案作为下午结肠镜检查的替代方案,但对于早晨的手术来说是劣质的.
- 建议限制饮食限制到结肠镜检查前一天 (清洁液体或低纤维/低残留饮食).
- 建议辅助使用口服西美西康.
- 建议定期跟踪适当的肠道准备率 (>90%目标).
结论:
- 建议分剂肠道制备,以获得最佳的结肠镜充分性.
- 饮食改变应仅限于手术前一天.
- 监测准备质量对于提高结肠镜疗效至关重要.
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