Digestive Endoscopy Unit, Catholic University, Rome, Italy; IHU, Strasbourg, USIAS, University of Strasbourg, France.
Digestive Endoscopy Unit, Veneto Institute of Oncology, Padova, Italy.
Dig Liver Dis. 2017 Dec;49(12):1306-1313. doi: 10.1016/j.dld.2017.08.034. Epub 2017 Sep 1.
Barrett's esophagus (BE) is recognized as a risk factor for esophageal adenocarcinoma. An expert panel was organized in Italy with the aim of drafting a series of statements on BE to guide diagnosis and management of patients with BE.
The working Group Coordinators worked on a literature search to identify key topics regarding critical steps of the endoscopic approach to BE. Based on the search and their expert opinion, a list of most meaningful questions was prepared and emailed to all members who were asked to vote the questions. When the survey was completed a consensus meeting was organized. According to the survey results, Group Coordinators proposed a draft statement that was voted. By definition, the statement was formulated when there was an agreement of ≥50% among participants.
Twenty nine participants deliberated 18 questions. The agreement was reached for 16 questions for which a recommendation was formulated.
The generated statements highlight the Italian contribution to the European Position Statement of the European Society of Gastrointestinal Endoscopy. The Italian statements preserve peculiarities when dealing with the endoscopic management of BE and wishes to be considered as a contribution for the care of BE patients even with a low risk of progression to esophageal neoplasia.
巴雷特食管（BE）被认为是食管腺癌的危险因素。意大利的一个专家小组组织起来，目的是就 BE 制定一系列声明，以指导 BE 患者的诊断和管理。
工作组协调员对文献进行了搜索，以确定内镜检查 BE 的关键步骤的关键主题。根据搜索结果和他们的专家意见，准备了一份最有意义的问题清单，并通过电子邮件发送给所有成员，请他们对问题进行投票。当调查完成后，组织了一次共识会议。根据调查结果，协调员提出了一份草案声明进行投票。根据定义，当参与者中有≥50%的人达成一致时，就会制定声明。
29 名参与者审议了 18 个问题。达成了 16 个问题的共识，并为这些问题制定了建议。
生成的声明突出了意大利对欧洲胃肠道内镜学会欧洲立场声明的贡献。意大利的声明在处理 BE 的内镜管理时保留了其特点，并希望被视为对 BE 患者护理的贡献，即使其进展为食管肿瘤的风险较低。
