JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection
JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection
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DOI：
10.1111/den.12456
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发表时间：
2015-05-01
影响因子：
5.3
通讯作者：
Tajiri, Hisao
中科院分区：
文献类型：
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作者：
Tanaka, Shinji;Kashida, Hiroshi;Tajiri, Hisao
近年来，结直肠内镜下粘膜下剥离术（ESD）已变得常见。适合内镜治疗的病变不仅包括早期结直肠癌，还包括许多类型的癌前腺瘤。重要的是要建立实用的指南，其中结直肠肿瘤的术前诊断和内镜治疗程序的选择是适当的概述，并确保实际的内镜治疗是有用的和安全的综合医院时，按照指南进行。最近，日本胃肠内镜学会与日本结肠直肠癌学会、日本结肠直肠学会和日本胃肠学会合作，采用循证方法编制了一套结肠直肠ESD/内镜粘膜切除术（EMR）指南。该指南重点关注ESD/EMR之前、期间和之后的诊断和治疗策略以及注意事项，在这方面，排除了仪器、器械和药物的特定程序、类型和正确使用。尽管最初计划将从适应症到病理学的八个领域纳入这些指南，但每个领域的证据都很缺乏。因此，建议的等级主要是通过这些领域的专家共识确定的。
Colorectal endoscopic submucosal dissection (ESD) has become common in recent years. Suitable lesions for endoscopic treatment include not only early colorectal carcinomas but also many types of precarcinomatous adenomas. It is important to establish practical guidelines in which the preoperative diagnosis of colorectal neoplasia and the selection of endoscopic treatment procedures are properly outlined, and to ensure that the actual endoscopic treatment is useful and safe in general hospitals when carried out in accordance with the guidelines. In cooperation with the Japanese Society for Cancer of the Colon and Rectum, the Japanese Society of Coloproctology, and the Japanese Society of Gastroenterology, the Japan Gastroenterological Endoscopy Society has recently compiled a set of colorectal ESD/endoscopic mucosal resection (EMR) guidelines using evidence-based methods. The guidelines focus on the diagnostic and therapeutic strategies and caveat before, during, and after ESD/EMR and, in this regard, exclude the specific procedures, types and proper use of instruments, devices, and drugs. Although eight areas, ranging from indication to pathology, were originally planned for inclusion in these guidelines, evidence was scarce in each area. Therefore, grades of recommendation were determined largely through expert consensus in these areas.