Ishaq Sauid, Siau Keith, Harrison Elizabeth, Tontini Gian Eugenio, Hoffman Arthur, Gross Seth, Kiesslich Ralf, Neumann Helmut
Gastroenterology Department, Dudley Group Hospitals, Dudley, United Kingdom; Birmingham City University, Birmingham, United Kingdom; St. George's University, Grenada, West Indies.
Gastroenterology Department, Dudley Group Hospitals, Dudley, United Kingdom.
Dig Liver Dis. 2017 Jul;49(7):721-727. doi: 10.1016/j.dld.2017.03.030. Epub 2017 Apr 9.
Worldwide, colorectal cancer is the third commonest cancer. Over 90% follow an adenoma-to-cancer sequence over many years. Colonoscopy is the gold standard method for cancer screening and early adenoma detection. However, considerable variation exists between endoscopists' detection rates. This review considers the effects of different endoscopic techniques on adenoma detection. Two areas of technological interest were considered: (1) optical technologies and (2) mechanical technologies. Optical solutions, including FICE, NBI, i-SCAN and high definition colonoscopy showed mixed results. In contrast, mechanical advances, such as cap-assisted colonoscopy, FUSE, EndoCuff and G-EYE™, showed promise, with reported detections rates of up to 69%. However, before definitive recommendations can be made for their incorporation into daily practice, further studies and comparison trials are required.
在全球范围内，结直肠癌是第三大常见癌症。超过90%的病例会在多年间遵循从腺瘤发展为癌症的过程。结肠镜检查是癌症筛查和早期腺瘤检测的金标准方法。然而，内镜医师的检测率存在相当大的差异。本综述探讨了不同内镜技术对腺瘤检测的影响。考虑了两个技术感兴趣的领域：（1）光学技术和（2）机械技术。包括FICE、NBI、i-SCAN和高清结肠镜检查在内的光学解决方案结果不一。相比之下，诸如帽辅助结肠镜检查、FUSE、EndoCuff和G-EYE™等机械进展显示出前景，报告的检测率高达69%。然而，在能够就将它们纳入日常实践做出明确建议之前，还需要进一步的研究和比较试验。
