Duloy Anna M, Keswani Rajesh N
Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, 1635, Aurora CT, Aurora, CO 80045, USA.
Department of Gastroenterology and Hepatology, Northwestern University, 676 North Street Clair, Suite 1400, Chicago, IL 60611, USA.
Gastrointest Endosc Clin N Am. 2019 Oct;29(4):587-601. doi: 10.1016/j.giec.2019.06.001. Epub 2019 Jul 5.
Ineffective polypectomy technique may lead to incomplete polyp resection, high complication rates, interval colorectal cancer, and costly referral to surgery. Despite its central importance to endoscopy, training in polypectomy is not standardized nor has the most effective training approach been defined. Polypectomy competence is rarely reported and quality metrics for this skill are lacking. Use of tools and measurements to assess polypectomy outcomes is low. There is a need for standardization of training and remediation in polypectomy; defining standards of competent polypectomy and how it is feasibly measured; and integration of polypectomy quality metrics into training programs and the accreditation process.
无效的息肉切除技术可能导致息肉切除不完全、高并发症发生率、结直肠癌间隔期发病以及昂贵的手术转诊。尽管息肉切除术对内镜检查至关重要，但息肉切除术的培训并不规范，也尚未确定最有效的培训方法。息肉切除能力很少被报告，且缺乏该技能的质量指标。用于评估息肉切除结果的工具和测量方法的使用较少。需要对息肉切除术的培训和补救进行标准化；确定合格息肉切除术的标准以及如何对其进行可行的测量；并将息肉切除质量指标纳入培训计划和认证过程。
