2026年最佳管理常规腺瘤:当前和不断变化的建议和正在进行的争议
Bianca Thakkar1, Rachael Hagen1, Joseph C Anderson1,2,3
1Department of Medicine, University of Connecticut, Farmington, CT.
Journal of clinical gastroenterology
|February 24, 2026
概括
本综述综合了目前的指导方针和管理结直肠腺瘤的新兴证据,重点是优化癌前病变的检测,切除和监测策略.
科学领域:
- 胃肠病学和内镜检查
- 结肠直肠癌 预防 预防
- 临床实践指南 临床实践指南
背景情况:
- 腺瘤是常见的癌前结直肠病变,需要有效的管理.
- 腺瘤检测,切除和监测的内镜技术,工具和指导方针正在不断发展.
- 最佳的腺瘤管理需要将当前的做法与新出现的证据整合起来.
研究的目的:
- 总结目前用于结直肠腺瘤检测,切除和监测的实践和指南.
- 突出国家和国际建议中存在分歧和不确定性的领域.
- 为胃肠科医生提供一个实用的概述,以优化腺瘤管理.
主要方法:
- 对目前关于结直肠腺瘤管理的国家和国际指南的审查.
- 综合新出现的证据和内镜实践中的转变.
- 讨论腺瘤检测率 (ADR) 门,计算机辅助的多体检测 (CADe) 以及状特征/高度形的意义上的关键争议.
主要成果:
- 介绍了目前用于腺瘤检测,切除和监测的实践和指南.
- 确定了指导方针分歧和不确定性的领域.
- 讨论了影响临床决策的关键争议,并将2026年作为最佳管理的基准.
结论:
- 胃肠道科医生可以通过将指南建议与新兴证据和先进技术相结合来优化腺瘤管理.
- 该审查支持基于证据的结直肠腺瘤护理,解决不断发展的内镜实践.
- 提供了实际见解,以提高癌前结直肠病变的检测,切除和监测.
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