使粘膜暴露最大化的技术与工艺。

Techniques and technologies to maximize mucosal exposure.

作者信息

Moons Leon M G, Gralnek Ian M, Siersema Peter D

机构信息

Department Gastroenterology and Hepatology, University Medical Center Utrecht, Heidelberglaan 100, 3508CH Zeist, Utrecht, The Netherlands.

Department of Gastroenterology, Ha'Emek Medical Center, Afula, Israel; Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

出版信息

Gastrointest Endosc Clin N Am. 2015 Apr;25(2):199-210. doi: 10.1016/j.giec.2014.11.012.

DOI:10.1016/j.giec.2014.11.012

PMID:25839682

Abstract

Performing high-quality colonoscopy is one of the important goals of gastroenterology practices and requires achieving a high level of bowel cleansing, performing good and safe polypectomy, and detecting all polyps present in the colon. This article summarizes currently available techniques and technologies to maximize mucosal visualization. Several maneuvers can be applied during insertion and withdrawal of the colonoscope to optimize mucosal visualization and decrease the number of missed polyps. Newly developed technologies support the endoscopist in the detection of polyps. Each technique is reviewed, with emphasis on the impact on colorectal polyp detection.

摘要

进行高质量的结肠镜检查是胃肠病学实践的重要目标之一，这需要实现高水平的肠道清洁、进行良好且安全的息肉切除术以及检测出结肠内存在的所有息肉。本文总结了目前可用的技术和方法，以最大限度地实现黏膜可视化。在插入和退出结肠镜的过程中，可以采用多种操作来优化黏膜可视化并减少漏诊息肉的数量。新开发的技术有助于内镜医师检测息肉。本文对每种技术进行了综述，重点在于其对结直肠息肉检测的影响。