普遍筛查结肠镜检查的理由。
The case for universal screening colonoscopy.
作者信息
Smith James
机构信息
Section on Gastroenterology and Hepatology, Department of Internal Medicine, Ochsner Clinic Foundation, New Orleans, LA.
出版信息
Ochsner J. 2002 Summer;4(3):139-45.
The mortality related to colorectal malignancy each year remains significant. Although improvements in chemotherapy and surgical management may allow for some improvement, any profound impact must come through the implementation of appropriate screening. Several strategies for screening are available and widely practiced, but this review focuses on the concept of universal screening colonoscopy for the average-risk patient and addresses whether this is the appropriate recommendation in terms of safety, medicolegal, reimbursement and manpower issues, effectiveness and cost-effectiveness, patient acceptance, and appropriate intervals.
每年与结直肠癌相关的死亡率仍然很高。尽管化疗和手术治疗的改进可能会带来一些改善，但任何显著的影响都必须通过实施适当的筛查来实现。有几种筛查策略可供使用且广泛应用，但本综述重点关注针对平均风险患者的普遍筛查结肠镜检查的概念，并探讨就安全性、医疗法律、报销和人力问题、有效性和成本效益、患者接受度以及适当间隔而言，这是否是合适的建议。
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