在结肠镜检查中暴露粘膜表面的机械辅助装置
Sara Schiavone1, Federico Iacopini1, Cesare Hassan2
1Gastroenterology and Digestive Endoscopy Unit, Ospedale Dei Castelli Hospital, Ariccia, Rome, Italy.
背部折叠可视化技术和技术 (BFTs) 在结肠镜检查期间改善腺瘤检测率 (ADR). 简单的,低成本的设备,如Endocuff和帽子提供了最好的平衡的有效性和易于使用的结肠直肠癌的预防.
科学领域:
- 胃肠病学 胃肠病学
- 内镜技术的使用方法
- 大肠直肠癌的预防和预防.
背景情况:
- 结肠镜质量对于结肠直肠癌 (CRC) 的预防至关重要,而腺瘤检测率 (ADR) 是一个关键指标.
- 由于粘膜暴露不足,ADR和遗漏病变的变化 (平面,状,右侧) 持续存在.
- 低于最佳的可视化通常发生在被折叠和曲所掩盖的区域.
研究的目的:
- 批判性地审查背部折叠可视化技术和技术 (BFTs) 在增强结肠镜检查期间的粘膜暴露的有效性.
- 评估BFT对腺瘤检测率 (ADR) 和整体结肠镜质量的影响.
- 确定实用和有效的BFT来改善结直肠瘤检测.
主要方法:
- 对各种BFT的当前数据进行系统审查和元分析,包括附加设备 (帽子,Endocuff,EndoRings) 和集成技术 (G-EYE,FUSE,第三眼).
- 关于BFTs在改善ADR方面的有效性证据的评估,特别是对于基线表现较低的内镜医生.
- 评估设备的实用性,可访问性和成本效益.
主要成果:
- 分析表明,BFT可以改善ADR,特别有利于基线ADR较低的内镜医生.
- 简单的,低成本的设备,如Endocuff和帽子,证明了有效性,可访问性和易于使用的有利平衡.
- 新出现的证据表明,将机械BFT与人工智能系统相结合,可能会带来额外的好处.
结论:
- BFT是优化结肠镜检查质量和减少结肠镜检查后结肠直肠癌的务实工具.
- 建议选择性地实施BFT,特别是在表现较差的环境中.
- BFT应被认为是现代内镜实践的关键组成部分,用于增强结直肠瘤检测.
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