Colonoscopy Surveillance After Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer
Colonoscopy Surveillance After Colorectal Cancer Resection: Recommendations of the US Multi-Society Task Force on Colorectal Cancer
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DOI：
10.1053/j.gastro.2016.01.001
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发表时间：
2016-03-01
期刊：
影响因子：
29.4
通讯作者：
Rex, Douglas K.
中科院分区：
文献类型：
--
作者：
Kahi, Charles J.;Boland, C. Richard;Rex, Douglas K.
美国多社会工作组已经制定了最新的建议，以指导医疗保健提供者对结直肠癌（CRC）切除术后的患者进行监测。本文基于对结肠镜、乙状结肠镜、超声内镜、粪便检查和CT结肠成像在结肠镜检查中的作用的文献的批判性综述。该文件讨论了监测的效果，重点是结肠镜检查，对患者的生存率CRC切除术后，结肠镜检查的围手术期清除和术后预防异时性CRC的适当使用和时机，在直肠癌的情况下，局部复发的检测的具体考虑因素，以及在CRC后监测的CT结肠造影和粪便检查的位置。
The US Multi-Society Task Force has developed updated recommendations to guide health care providers with the surveillance of patients after colorectal cancer (CRC) resection with curative intent. This document is based on a critical review of the literature regarding the role of colonoscopy, flexible sigmoidoscopy, endoscopic ultrasound, fecal testing and CT colonography in this setting. The document addresses the effect of surveillance, with focus on colonoscopy, on patient survival after CRC resection, the appropriate use and timing of colonoscopy for perioperative clearing and for postoperative prevention of metachronous CRC, specific considerations for the detection of local recurrence in the case of rectal cancer, as well as the place of CT colonography and fecal tests in post-CRC surveillance.