Franco Diana L, Leighton Jonathan A, Gurudu Suryakanth R
Dr Franco is a gastroenterology fellow, Dr Leighton is a professor of medicine, and Dr Gurudu is an associate professor of medicine in the Division of Gastroenterology at the Mayo Clinic Arizona in Scottsdale, Arizona.
Gastroenterol Hepatol (N Y). 2017 Aug;13(8):476-483.
Colonoscopy is the most widely used screening modality for the detection and removal of colon polyps and for the prevention of colorectal cancer. To identify all colon lesions and reduce the risk of colorectal cancer, it is important to perform a complete colonoscopy. The success of screening colonoscopy depends upon several parameters, including bowel preparation and adenoma detection rate. Incomplete colonoscopy rates vary from 4% to 25% and are associated with higher rates of interval proximal colon cancer. This article reviews the potential causes of and preventive measures for incomplete colonoscopy, as well as techniques and technologies that may improve the rate of complete colonoscopy.
结肠镜检查是用于检测和切除结肠息肉以及预防结直肠癌的最广泛使用的筛查方式。为了识别所有结肠病变并降低结直肠癌风险,进行完整的结肠镜检查很重要。筛查结肠镜检查的成功取决于几个参数,包括肠道准备和腺瘤检出率。不完全结肠镜检查率在4%至25%之间,并且与较高的近端结肠间期癌发生率相关。本文综述了不完全结肠镜检查的潜在原因和预防措施,以及可能提高完整结肠镜检查率的技术和方法。