Sloane J, Aziz O, McCullough T, Carter M, Lloyd G
Lister Hospital, Stevenage, Hertfordshire, UK.
J Surg Case Rep. 2012 May 1;2012(5):13. doi: 10.1093/jscr/2012.5.13.
The UK National Bowel Cancer Screening Programme invites men and women aged between 60 - 74 years old to be routinely screened every 2 years. A 90% caecal intubation rate or intubation of the terminal ileum is considered to be the best practice means of identifying completeness. This case report describes how terminal ileal intubation carried out during a routine screening colonoscopy led to the identification and treatment of a carcinoid tumour. Despite evidence for improving colonic diagnoses, completion of colonoscopy by passing through the ileocaecal valve is not performed routinely due to the perceived difficulty of the manoeuvre. With practice, ileoscopy has been shown to be achievable in at least 85% of routine colonoscopies and contributes significantly to quality assurance and to the diagnostic yield.
英国国家肠癌筛查计划邀请60至74岁的男性和女性每两年进行一次常规筛查。90%的盲肠插管率或回肠末端插管被认为是确定检查完整性的最佳方法。本病例报告描述了在常规筛查结肠镜检查期间进行的回肠末端插管如何导致类癌肿瘤的发现和治疗。尽管有证据表明通过回盲瓣可改善结肠诊断，但由于认为该操作困难，通过回盲瓣完成结肠镜检查并未常规进行。通过练习，已证明在至少85%的常规结肠镜检查中可以实现回肠镜检查，这对质量保证和诊断率有显著贡献。
