Thirumurthi Selvi, Ross William A, Raju Gottumukkala S
Department of Gastroenterology, Hepatology & Nutrition, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA.
Curr Gastroenterol Rep. 2016 Jul;18(7):38. doi: 10.1007/s11894-016-0505-1.
In order for screening colonoscopy to be an effective tool in reducing colon cancer incidence, exams must be performed in a high-quality manner. Quality metrics have been presented by gastroenterology societies and now include higher adenoma detection rate targets than in the past. In many cases, the quality of colonoscopy can often be improved with simple low-cost interventions such as improved procedure technique, implementing split-dose bowel prep, and monitoring individuals' performances. Emerging technology has expanded our field of view and image quality during colonoscopy. We will critically review several technological advances in the context of quality metrics and discuss if technology can really improve the quality of colonoscopy.
为使筛查性结肠镜检查成为降低结肠癌发病率的有效工具，检查必须以高质量的方式进行。胃肠病学学会已经提出了质量指标，现在包括比过去更高的腺瘤检出率目标。在许多情况下，结肠镜检查的质量通常可以通过一些简单的低成本干预措施得到改善，如改进操作技术、采用分剂量肠道准备以及监测个人表现。新兴技术在结肠镜检查过程中扩展了我们的视野和图像质量。我们将在质量指标的背景下严格审查几项技术进步，并讨论技术是否真的能提高结肠镜检查的质量。
