Hale Melissa F, Davison Carolyn, Panter Simon, Drew Kaye, Sanders David S, Sidhu Reena, McAlindon Mark E
Department of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK.
Department of Gastroenterology, South Tyneside NHS Foundation Trust, Newcastle upon Tyne, UK.
Frontline Gastroenterol. 2015 Apr;6(2):132-140. doi: 10.1136/flgastro-2015-100557. Epub 2015 Mar 6.
Capsule endoscopy remains at the forefront of small bowel investigation, offering the only non-invasive means of directly imaging the mucosa of the small bowel. Recommended for the investigation of obscure gastrointestinal bleeding, Crohn's disease, coeliac disease, small bowel tumours and hereditary polyposis syndromes, the uptake of small bowel capsule endoscopy has been widespread in the UK. However, despite a wealth of published literature supporting the utility of capsule endoscopy in clinical practice, there are limited data regarding the actual practical aspects of service delivery, training and quality assurance. In this article, we attempt to address this by considering specific factors that contribute to provision of a high-quality capsule service. The role of formal training, accreditation and quality assurance measures is also discussed.
胶囊内镜检查仍然是小肠检查的前沿技术,是直接对小肠黏膜进行成像的唯一非侵入性方法。小肠胶囊内镜检查被推荐用于不明原因的胃肠道出血、克罗恩病、乳糜泻、小肠肿瘤和遗传性息肉综合征的检查,在英国已得到广泛应用。然而,尽管有大量已发表的文献支持胶囊内镜检查在临床实践中的效用,但关于服务提供、培训和质量保证等实际操作方面的数据却很有限。在本文中,我们试图通过考虑有助于提供高质量胶囊内镜服务的具体因素来解决这一问题。同时还讨论了正规培训、认证和质量保证措施的作用。