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在英国提供小肠内镜检查服务的实践要点。

Practical aspects of delivering a small bowel endoscopy service in the UK.

作者信息

Hale Melissa F, Davison Carolyn, Panter Simon, Drew Kaye, Sanders David S, Sidhu Reena, McAlindon Mark E

机构信息

Department of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK.

Department of Gastroenterology, South Tyneside NHS Foundation Trust, Newcastle upon Tyne, UK.

出版信息

Frontline Gastroenterol. 2015 Apr;6(2):132-140. doi: 10.1136/flgastro-2015-100557. Epub 2015 Mar 6.

DOI:10.1136/flgastro-2015-100557
PMID:28839800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5369572/
Abstract

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.

摘要

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。

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Practical aspects of delivering a small bowel endoscopy service in the UK.在英国提供小肠内镜检查服务的实践要点。
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2
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引用本文的文献

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J Clin Med. 2024 Jul 4;13(13):3919. doi: 10.3390/jcm13133919.
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Small bowel capsule endoscopy and deep enteroscopy procedure load in France: a nationwide population-based study over 7 years.法国小肠胶囊内镜检查和深度小肠镜检查操作量:一项基于全国人口的7年研究
Endosc Int Open. 2023 Oct 17;11(10):E1013-E1019. doi: 10.1055/a-2180-9622. eCollection 2023 Oct.
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Training in video capsule endoscopy: Current status and unmet needs.视频胶囊内镜培训:现状与未满足的需求。
World J Gastrointest Endosc. 2019 Jun 16;11(6):395-402. doi: 10.4253/wjge.v11.i6.395.

本文引用的文献

1
Provision of service and training for small bowel endoscopy in the UK.英国小肠内镜检查的服务提供与培训
Frontline Gastroenterol. 2012 Apr;3(2):98-103. doi: 10.1136/flgastro-2011-100044. Epub 2011 Dec 12.
2
Development and roll out of the JETS e-portfolio: a web based electronic portfolio for endoscopists.JETS电子档案袋的开发与推广:一款面向内镜医师的基于网络的电子档案袋。
Frontline Gastroenterol. 2011 Jan;2(1):35-42. doi: 10.1136/fg.2010.003269. Epub 2010 Nov 20.
3
Small bowel patency assessment using the patency device and a novel targeted (limited radiation) computed tomography-based protocol.使用通畅性装置和一种新型靶向(有限辐射)计算机断层扫描方案评估小肠通畅性。
J Gastroenterol Hepatol. 2015 Jun;30(6):984-9. doi: 10.1111/jgh.12891.
4
Value of the patency capsule in pre-evaluation for capsule endoscopy in cases of intestinal obstruction.通畅胶囊在肠梗阻胶囊内镜检查前评估中的价值。
J Dig Dis. 2014 Jul;15(7):345-51. doi: 10.1111/1751-2980.12152.
5
Finding the solution for incomplete small bowel capsule endoscopy.寻找不完全小肠胶囊内镜检查的解决方案。
World J Gastrointest Endosc. 2013 Dec 16;5(12):595-9. doi: 10.4253/wjge.v5.i12.595.
6
Should bowel preparation, antifoaming agents, or prokinetics be used before video capsule endoscopy? A systematic review and meta-analysis.在进行视频胶囊内镜检查前,是否应使用肠道准备、消泡剂或促动力药物?系统评价和荟萃分析。
Eur J Gastroenterol Hepatol. 2014 Feb;26(2):137-45. doi: 10.1097/MEG.0b013e328365b9d4.
7
[Capsule Endoscopy in Patients with Cardiac Pacemakers and Implantable Cardioverter Defibrillators - Is the Formal Contraindication still Justified?].[心脏起搏器和植入式心脏复律除颤器患者的胶囊内镜检查——正式的禁忌证是否仍然合理?]
Z Gastroenterol. 2013 Aug;51(8):747-52. doi: 10.1055/s-0033-1335999. Epub 2013 Aug 16.
8
Training in small-bowel capsule endoscopy: assessing and defining competency.小肠胶囊内镜培训:评估和定义能力。
Gastrointest Endosc. 2013 Oct;78(4):617-22. doi: 10.1016/j.gie.2013.05.010. Epub 2013 Jul 25.
9
Do prokinetics influence the completion rate in small-bowel capsule endoscopy? A systematic review and meta-analysis.促动力药物是否会影响小肠胶囊内镜的完成率?系统评价和荟萃分析。
Curr Med Res Opin. 2013 Sep;29(9):1171-85. doi: 10.1185/03007995.2013.818532. Epub 2013 Jul 11.
10
Postcolonoscopy colorectal cancers are preventable: a population-based study.结肠镜检查后的结直肠癌是可以预防的:一项基于人群的研究。
Gut. 2014 Jun;63(6):957-63. doi: 10.1136/gutjnl-2013-304880. Epub 2013 Jun 6.