喷雾冷治疗食道协会 (SPEC) 关于在巴雷特食道和食道癌症中使用修改后的德尔菲过程进行液喷雾冷治疗的共识建议
Tilak Shah1, Zaid Ansari1, Akram Ahmad1
1Digestive Disease Institute, Cleveland Clinic Weston, Weston, Florida, USA.
The American journal of gastroenterology
|August 26, 2025
概括
在巴雷特食道 (BE) 和食道癌症 (EC) 中制定了液喷雾冷治疗 (LNSC) 的共识建议. 这些指导方针确保了LNSC在临床实践中的安全和适当应用.
科学领域:
- 胃肠病学
- 癌症学
- 医疗器械
背景情况:
- 巴雷特食道 (BE) 和食道癌 (EC) 需要有效的治疗方法.
- 液喷雾冷疗法 (LNSC) 是一种新兴的治疗选择.
- 为了安全有效地使用LNSC,需要标准化指南.
研究的目的:
- 为安全和适当使用LNSC制定共识建议.
- 为用LNSC治疗BE和EC的临床医生提供基于证据的指导.
主要方法:
- 采用了经过修改的19名专家参与的德尔菲工艺.
- 通过反复的专家反来制定和完善声明.
- 使用推评估,开发和评估 (GRADE) 方法来评估证据的强度.
主要成果:
- 在42个声明中,有41个在三次德尔菲会议后达成共识.
- 这些建议涵盖了LNSC的指示,培训,程序步骤和禁忌.
- 接受的陈述要么是原始的,要么是根据专家的意见进行修改的.
结论:
- 专家和基于证据的LNSC共识建议在BE和EC成功制定.
- 这些指导方针将促进安全和适当的LNSC应用.
- 这项研究为LNSC在胃肠道实践中的标准化使用提供了框架.
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