肥胖患者的结肠镜检查:挑战和新出现的解决方案
Dilhana Badurdeen1, Yuting Huang1, Andres Acosta2
1Division of Gastroenterology and Hepatology, Mayo Clinic, Florida.
肥胖增加了结直肠癌的风险和查障碍. 肠道准备,镇静和人工智能辅助结肠镜方面的创新可以改善肥胖患者的检测和结果.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 医疗技术 医疗技术 医学技术
背景情况:
- 肥胖率的上升 (超过40%的美国成年人) 增加了结直肠癌 (CRC) 的风险.
- 肥胖个体的结肠镜查参与率较低,并面临程序性障碍.
- 肥胖与结直肠腺瘤和癌症的风险增加有关.
研究的目的:
- 审查肥胖患者结肠镜检查的挑战.
- 检查新出现的解决方案,以提高查的有效性.
- 改善肥胖患者结直肠癌查患者的结果.
主要方法:
- 对肥胖患者结肠镜检查的挑战和创新的文献综述.
- 分析影响肠道准备,输管和检测率的因素.
- 评估新技术和机构战略.
主要成果:
- 肥胖与肠道不良准备,更长的输管时间和较低的腺瘤检测率有关.
- 镇静并发症在肥胖患者中更常见.
- 诸如人工智能增强可视化和机器人辅助等创新显示出有前途.
结论:
- 由于肥胖率的上升,适应肥胖患者的结肠镜实践至关重要.
- 基于证据的策略和新技术可以克服程序上的障碍.
- 优化肥胖患者的CRC查需要进一步的研究和指导方针的改进.
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