The role of endoscopy in Barrett's esophagus and other premalignant conditions of the esophagus
The role of endoscopy in Barrett's esophagus and other premalignant conditions of the esophagus
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DOI：
10.1016/j.gie.2012.08.004
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发表时间：
2012-12-01
影响因子：
7.7
通讯作者：
Cash, Brooks D.
中科院分区：
文献类型：
--
作者：
Evans, John A.;Early, Dayna S.;Cash, Brooks D.
这是一系列讨论在常见临床情况下使用胃肠道内窥镜检查的声明之一。美国胃肠内窥镜学会的实践标准委员会准备了这篇文章。在编写本指南时，使用PubMed进行了医学文献检索。从已识别文章的参考书目和专家顾问的建议中获得其他参考文献。当设计良好的前瞻性试验数据有限或没有数据时，重点是大系列的结果和公认专家的报告。适当使用内窥镜的指南是基于对现有数据的严格审查和起草指南时的专家共识。可能需要进一步的对照临床研究来阐明本指南的各个方面。本指南可根据技术、新数据或临床实践其他方面的变化进行必要的修订。这些建议是基于审查的研究，并根据支持证据的强度进行分级（表1）。(1)个体建议的强度基于综合证据质量和预期受益和危害的评估。较弱的建议由诸如“我们建议”之类的短语表示，而较强的建议通常表示为“我们建议”。“本指南旨在作为一种教育手段，提供可能有助于内窥镜医生为患者提供护理的信息。本指南不是规则，不应被解释为建立法律的护理标准或鼓励、提倡、要求或阻止任何特定治疗。在任何特定情况下的临床决策都涉及对患者状况和可用行动方案的复杂分析。因此，临床考虑可能导致内镜医师采取与这些指南不同的行动。
This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy prepared this text. In preparing this guideline, a search of the medical literature was performed using PubMed. Additional references were obtained from the bibliographies of the identified articles and from recommendations of expert consultants. When limited or no data exist from well-designed prospective trials, emphasis is given to results of large series and reports from recognized experts. Guidelines for appropriate use of endoscopy are based on a critical review of the available data and expert consensus at the time the guidelines are drafted. Further controlled clinical studies may be needed to clarify aspects of this guideline. This guideline may be revised as necessary to account for changes in technology, new data, or other aspects of clinical practice. The recommendations were based on reviewed studies and were graded on the strength of the supporting evidence (Table 1).(1) The strength of individual recommendations is based on both the aggregate evidence quality and an assessment of the anticipated benefits and harms. Weaker recommendations are indicated by phrases such as "we suggest," whereas stronger recommendations are typically stated as "we recommend."This guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients. This guideline is not a rule and should not be construed as establishing a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment. Clinical decisions in any particular case involve a complex analysis of the patient's condition and available courses of action. Therefore, clinical considerations may lead an endoscopist to take a course of action that varies from these guidelines.