在结肠镜检查期间达到腺瘤检测目标所需的禁用时间
Mahsa Taghiakbari1, Sara-Ivana Calce2, Douglas K Rex3
1University of Montreal Hospital Research Center (CRCHUM), Montreal, Quebec, Canada.
Gastrointestinal endoscopy
|November 3, 2025
概括
增加结肠镜检查的等待时间可以提高腺瘤检测率 (ADR),特别是在表现不佳的医生身上. 较长的校正停药时间 (cWT) 对于提高患者安全和降低结直肠癌风险至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 结肠直肠癌 预防 预防
背景情况:
- 低腺瘤检测率 (ADR) 与结肠镜后结肠直肠癌风险增加有关.
- 改善ADR对于患者安全和有效的癌症查至关重要.
研究的目的:
- 确定内镜医生在基线低ADR (<25%) 时所需的平均校正停药时间 (cWT),以达到至少26%的ADR.
主要方法:
- 展望研究分析全长结肠镜视频.
- 校正的耐药时间 (cWT) 是通过从总耐药时间中减去干预持续时间来计算的.
- 评估了各种检测指标,包括ADR,高级ADR和聚检测率.
主要成果:
- 低表现者需要大约11分钟的cWT才能达到ADR≥26%.
- 每增加1分钟的cWT增加了腺瘤检测概率总体7.1%,对表现较差的患者的影响更大.
- 所有检测指标都显示了较长cWT和整体停药时间的显著改善.
结论:
- 延长cWT显著提高腺瘤检测,特别有利于具有较低基线ADR的内镜医生.
- 基于内镜师的表现的个性化禁用时间建议在普遍的时间值上得到支持.
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