Richard L. Roudebush VA Medical Center, Indianapolis, IN; Indiana University School of Medicine, Indianapolis, Indiana.
Baylor University Medical Center at Dallas, Dallas, Texas.
Gastroenterology. 2016 Mar;150(3):758-768.e11. doi: 10.1053/j.gastro.2016.01.001. Epub 2016 Feb 10.
The US Multi-Society Task Force has developed updated recommendations to guide health care providers with the surveillance of patients after colorectal cancer (CRC) resection with curative intent. This document is based on a critical review of the literature regarding the role of colonoscopy, flexible sigmoidoscopy, endoscopic ultrasound, fecal testing and CT colonography in this setting. The document addresses the effect of surveillance, with focus on colonoscopy, on patient survival after CRC resection, the appropriate use and timing of colonoscopy for perioperative clearing and for postoperative prevention of metachronous CRC, specific considerations for the detection of local recurrence in the case of rectal cancer, as well as the place of CT colonography and fecal tests in post-CRC surveillance.
美国多学会工作组制定了更新的建议,以指导医疗保健提供者对有治愈意图的结直肠癌(CRC)切除术后患者进行监测。本文件基于对文献中关于结肠镜检查、软性乙状结肠镜检查、内镜超声、粪便检测和 CT 结肠成像在该环境中的作用的批判性回顾。本文探讨了监测(重点是结肠镜检查)对 CRC 切除术后患者生存的影响、围手术期清除和术后预防 CRC 异时性的结肠镜检查的适当使用和时机、直肠癌局部复发检测的具体注意事项,以及 CT 结肠成像和粪便检测在 CRC 监测中的作用。