Szold Amir, Kopelman Doron, Gefen Rachel, Mintz Yoav
Assia Medical Group, Assuta Medical Center, Tel Aviv.
Department of Surgery B, Ha'Emek Medical Center, Afula and the Rappaport Faculty of Medicine, Technion- Israel Institute of Technology.
Harefuah. 2019 Apr;158(4):248-252.
The flexible endoscope was developed over 50 years ago as a diagnostic tool for the gastrointestinal (GI) tract. Since then, many therapeutic interventions were developed using the endoscope, mostly by surgeons. In the past decade, following technological developments and improvements made in light sources and video, more advanced procedures were developed, and the flexible endoscope is slowly becoming a powerful surgical tool that enables performing advanced procedures that replace traditional surgery, such as intra-operative endoscopy for exact localization of pathologies, active guidance of the surgical acts during surgery, treatment of common diseases of the GI tract and interventions to treat post-operative complications. The use of the flexible endoscope by surgeons varies between regions. Whereas it is a mandatory part of surgical residency in North America, Australia and parts of Asia, in other parts of the world, including Israel, flexible endoscopy is not accessible to surgeons. In this review we chart the reasons for this phenomenon and define the needs for change so that flexible endoscopy will become a common surgical tool in Israel.
可弯曲内窥镜于50多年前作为胃肠道（GI）的诊断工具而开发。从那时起，许多治疗干预措施都是使用内窥镜开发的，主要是由外科医生进行的。在过去十年中，随着光源和视频技术的发展和改进，开发了更先进的程序，可弯曲内窥镜正逐渐成为一种强大的手术工具，能够执行替代传统手术的先进程序，例如术中内窥镜检查以精确确定病变位置、手术期间对手术操作的主动引导、胃肠道常见疾病的治疗以及治疗术后并发症的干预措施。外科医生对可弯曲内窥镜的使用在不同地区有所不同。在北美、澳大利亚和亚洲部分地区，它是外科住院医师培训的必修部分，而在世界其他地区，包括以色列，外科医生无法使用可弯曲内窥镜检查。在本综述中，我们梳理了这一现象的原因并确定了变革的需求，以便可弯曲内窥镜检查在以色列成为一种常见的手术工具。
