非息肉样（扁平及凹陷型）结直肠肿瘤恶性潜能的内镜评估：快思与慢想
Endoscopic Assessment of the Malignant Potential of the Nonpolypoid (Flat and Depressed) Colorectal Neoplasms: Thinking Fast, and Slow.
作者信息
Asokkumar Ravishankar, Malvar Carmel, Nguyen-Vu Tiffany, Sanduleanu Silvia, Kaltenbach Tonya, Soetikno Roy
机构信息
Department of Gastroenterology and Hepatology, Singapore General Hospital, 1 Hospital Drive, Singapore 169608, Singapore.
Department of Gastroenterology, Veterans Affairs Medical Center, 4150 Clement Street, San Francisco, CA 94121, USA; Department of Medicine, University of California, 500 Parnassus Avenue, San Francisco, CA 94143, USA.
出版信息
Gastrointest Endosc Clin N Am. 2019 Oct;29(4):613-628. doi: 10.1016/j.giec.2019.06.006. Epub 2019 Jul 25.
Current endoscopy training methodology does not meet the learning traits, skills, and needs of the newer generation of gastroenterologists. This article provides information on assessment of the malignant potential of colorectal neoplasms. It takes a modern approach on the topic and integrates relevant information that aligns with the thinking process. The theory of thinking fast (reflex) and slow (rational) is used. By doing so, it is hoped that the learning process can be expedited and practiced immediately. The focus is on preresection assessment of nonpolypoid colorectal neoplasms. Assessment of polypoid, sessile-serrated adenoma/polyp, or inflammatory bowel disease dysplasia is briefly discussed.
当前的内镜培训方法无法满足新一代胃肠病学家的学习特点、技能和需求。本文提供了有关结直肠肿瘤恶性潜能评估的信息。它采用了关于该主题的现代方法，并整合了与思维过程相一致的相关信息。运用了快速（反射性）和慢速（理性）思维理论。通过这样做，希望能够加快学习过程并立即付诸实践。重点是对非息肉样结直肠肿瘤的切除前评估。对息肉样、无蒂锯齿状腺瘤/息肉或炎症性肠病发育异常的评估也进行了简要讨论。
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