结肠镜后结肠直肠癌:在查和放大内镜技术的时代,我们需要知道什么
Maria Delgado Galan1, Elvira Quintanilla Lazaro1, Luis Ramon Rabago Torre2
1Department of Gastroenterology, Hospital Severo Ochoa, Leganes 28914, Madrid, Spain.
World journal of gastrointestinal endoscopy
|July 18, 2025
概括
结肠镜后结肠直肠癌 (PCCRC) 发生在阴性结肠镜检查后,表明错过的病变. 通过质量评估和改进技术减少PCCRC对于有效的结直肠癌查至关重要.
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:
- 结肠镜后结肠直肠癌 (PCCRC) 或间歇性结肠直肠癌是在阴性结肠镜检查后>6个月被诊断出来的.
- PCCRC发病率在3.6%至9.3%之间,突出显示了结肠镜检查的准确性和预防作用的局限性.
- 它代表了结肠镜检查的关键质量指标.
研究的目的:
- 审查与增加PCCRC风险相关的因素.
- 强调内部自我评估和关键绩效指标的重要性,以减少PCCRC.
- 为早期检测和预防间隔CRC.指导策略.
主要方法:
- 对与PCCRC相关的临床,内镜和生物因素的审查.
- 评估关键的性能指标:腔输管率,腺瘤检测率,停药时间,PCCRC发病率和不完整切除.
- 在个人内镜师和单位层面进行评估.
主要成果:
- 确定的临床,内镜和生物因素增加了PCCRC风险.
- 对绩效指标的内部自我评估是减排的最有影响力的策略.
- 技术进步可以改善多体检测和程序质量.
结论:
- 减少PCCRC是内镜单位的优先事项.
- 对高风险患者进行分层和改善预防策略至关重要.
- 通过性能指标评估不断提高质量是最小化间隔CRC的关键.
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