1 Digestive Endoscopy Unit, Nuovo Regina Margherita Hospital, Via Morosini 30, 00153, Rome, Italy.
2 Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Research Hospital, Humanitas University, Milan, Italy.
AJR Am J Roentgenol. 2017 Jul;209(1):88-93. doi: 10.2214/AJR.17.17863. Epub 2017 Apr 5.
Colonoscopy accuracy in detecting colorectal neoplasia is critical for colorectal cancer prevention but has been shown to be operator- and technology-dependent. This article will discuss several recent improvements in the technique and technology of colonoscopy.
More rigorous training and retraining programs, active monitoring of endoscopist technique and outcomes, and exclusion of poorly performing endoscopists are urgently needed to improve the ultimate efficacy of colorectal cancer screening programs.
结肠镜检查在检测结直肠肿瘤方面的准确性对于结直肠癌的预防至关重要，但已证实其取决于操作人员和技术。本文将讨论结肠镜技术和技术的一些最新改进。
迫切需要更严格的培训和再培训计划、主动监测内镜医师的技术和结果以及排除技术不佳的内镜医师，以提高结直肠癌筛查计划的最终效果。
