Advances in colonoscope technique and technology.
Advances in colonoscope technique and technology.
复制标题
结肠镜技术和技术的进步。
DOI：
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发表时间：
2008
影响因子：
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通讯作者：
D. Rex
中科院分区：
文献类型：
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作者：
K. Huh;D. Rex
到目前为止，似乎没有用于结肠镜检查的替代平台准备好基本上取代传统的结肠镜检查平台。Invendoscope和胶囊结肠镜是最有前途的替代平台。关于结肠镜插入，水浸是相当值得注意的，但需要在更广泛的人群中进行额外的研究。戴帽式结肠镜插入的好处很小。关于成像，广角结肠镜检查可能会产生依赖于操作者的效率提高，但没有一致的证据表明它可以提高腺瘤的检测。同样，戴帽结肠镜检查作为一种提高腺瘤检测的方法也不令人信服。对于高水平的白色光腺瘤探测器来说，没有一种既有效又实用的方法来观察扁平病变。窄带成像可能对低水平腺瘤检测器有学习效应，自体荧光似乎有希望，值得进一步研究。几种用于确定实时组织学的方法是有前途的，并且似乎是通过减少小息肉的病理学费用来提高结肠镜检查的成本效益的方法。
To date, no alternative platform for colonoscopy seems prepared to substantially supplant the traditional colonoscopy platform. The Invendoscope and capsule colonoscopy are the most promising of the alternative platforms. With regard to colonoscope insertion, water immersion is quite noteworthy but requires additional study in broader populations. The benefits of cap-fitted colonoscopy for insertion are small. With regard to imaging, wide-angle colonoscopy may produce an operator-dependent improvement in efficiency, but there is no consistent evidence that it improves adenoma detection. Similarly, cap-fitted colonoscopy is not convincing as a method to improve adenoma detection. There is no method for seeing flat lesions that is both effective and practical for high-level white light adenoma detectors. Narrow-band imaging may have a learning effect on low-level adenoma detectors, and autofluorescence seems promising and deserves additional study. Several methods for determination of real-time histology are promising and seem to be methods by which the cost-effectiveness of colonoscopy could be improved through reduction in pathology charges for diminutive polyps.