Peixoto Armando, Silva Marco, Pereira Pedro, Macedo Guilherme
Gastroenterology Department, Centro Hospitalar de São João, Porto, Portugal.
GE Port J Gastroenterol. 2015 Sep 1;23(1):19-27. doi: 10.1016/j.jpge.2015.07.004. eCollection 2016 Jan-Feb.
Gastrointestinal endoscopy and the acquisition of tissue samples are essential for the diagnosis and treatment of various diseases of the digestive system. However, given the differences between the recommendations and the clinical practice, the inexorable increase of requests for endoscopic examinations and the financial burden associated with it, it is crucial that we concentrate on the challenge that endoscopic biopsies represent. In this review we describe the available evidence in the literature, including the more recent published guidelines, on when or not to perform endoscopic biopsies in upper and lower endoscopy, focusing on the precise diagnosis of the most common gastrointestinal diseases that motivate endoscopic examinations and on the rational use of available resources without compromising proper management of patients.
胃肠内镜检查及获取组织样本对于消化系统各种疾病的诊断和治疗至关重要。然而，鉴于指南与临床实践之间存在差异、内镜检查请求数量的必然增加及其带来的经济负担，我们必须专注于内镜活检所带来的挑战。在本综述中，我们描述了文献中的现有证据，包括最新发布的指南，内容涉及在上消化道和下消化道内镜检查中何时进行或不进行内镜活检，重点关注引发内镜检查的最常见胃肠疾病的精确诊断以及在不影响患者合理管理的情况下合理使用现有资源。
