Am J Gastroenterol. 2010 Dec;105(12):2665-9. doi: 10.1038/ajg.2010.330.
Variation in the detection of both adenomas and cancers at colonoscopy is well established, and adenoma detection is a valid indicator of the quality of colonoscopy. A study reported in this issue demonstrated variable detection of serrated lesions among endoscopists. It is possible that serrated lesions are a major key to the lower level of protection provided by colonoscopy for proximal compared with the distal colon cancer, and serrated lesions may be an appropriate detection target during colonoscopy.
结肠镜检查中腺瘤和癌症的检测存在差异已得到充分证实，腺瘤检测是结肠镜检查质量的有效指标。本期杂志报道的一项研究表明，内镜医生对锯齿状病变的检测存在差异。锯齿状病变可能是导致结肠镜检查对近端结肠癌保护作用低于远端结肠癌的一个主要原因，锯齿状病变可能是结肠镜检查中的一个合适的检测目标。
