在第二次多斑管切除术后的监测结肠镜检查中,晚期瘤的产量:系统性审查和元分析
Pooja Pandita1, Yi Le2, Mehul Trivedi1
1Department of Medicine, University of California San Diego, La Jolla, California.
概括
在多角切除术后进行结肠镜监测至关重要. 结合基线和初次监测结果,为后续瘤提供了更准确的风险评估,而不是仅依靠最近的检查.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 预防医学 预防医学
背景情况:
- 有限证据表明,在多斑切除术和初始结肠镜检查后,瘤风险和监测时间有限.
- 经过多斑切除术和监视结肠镜后与患者的例行接触需要更好的风险分层.
研究的目的:
- 进行系统性审查和元分析,以评估连续监测结肠镜的产量.
- 为了告知风险评估和监测时间对于具有多角切除病史的个体.
主要方法:
- 通过2024年9月对数据库进行系统的文献搜索.
- 包括在基线报告瘤产量和至少两次监测结肠镜的研究.
- 基于基线和第一次监测结果,对第二次监测中晚期瘤发病率的综合分析.
主要成果:
- 在第二次监测时,根据先前的发现,先进瘤的发病率有显著的变化.
- 在基线没有腺瘤的个体中,第二次监测时的晚期瘤发生率在4%至11.4%之间,取决于第一次监测的结果.
- 在基线时患有晚期瘤的个体中,根据第一次监测结果,第二次监测时的发病率从9.1%到26.1%不等.
结论:
- 基线和第一次监测结肠镜的结果对于准确的风险估计至关重要.
- 使用历史结肠镜数据可以改善风险分层,而不是仅依靠最近的检查.
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