在美国内镜师中,常规多眼镜手术的实践差异很大,通常偏离指南:对结肠镜注册数据的分析
Seth D Crockett1, Jennifer Holub2, Audrey H Calderwood3
1Division of Gastroenterology & Hepatology, Oregon Health & Science University and Portland VA Medical Center, Portland, Oregon, USA.
针对小结肠多体的多样镜术技术在美国内镜师之间有很大差异. 对于清除结肠多菌的最佳实践指南的遵守是不确定的,这表明需要改进标准化.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 提高质量 提高质量
背景情况:
- 已建立的最佳实践存在于去除不到1厘米的结肠多.
- 关于遵守这些既定准则的不确定性仍然存在.
研究的目的:
- 分析用于小于1厘米的结肠多体的多角切除术技术.
- 根据患者,程序和提供者特征来识别技术的变化.
主要方法:
- 来自胃肠病质量改善联盟注册 (GIQuIC) 的结肠镜数据的分析.
- 包括超过180万个涉及小于1厘米的息肉的结肠镜.
主要成果:
- 冷,冷陷和热陷技术分别在35%,58%和11%的案例中使用.
- 根据多类型,地理区域和提供者专业,多切除术的技术有很大差异.
- 与非胃肠道内镜医生相比,胃肠道医生表现出更强的遵守指导方针.
结论:
- 美国内镜医生用于小结肠多体的多视镜术技术存在很大差异.
- 当前的做法可能不总是与建议的最佳实践结肠多片去除一致.
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