Tunis Med. 2021;99(10):952-960.
Colonoscopy is considered as the most effective tool for preventing, screening, and diagnosing colorectal lesions. Effectiveness of colonoscopy was identified as a major priority, and it strictly depends on quality measures. Therefore, international guidelines were formulated on quality indicators for colonoscopy, aiming to reduce the rate of interval cancers related to missed lesions during colonoscopy. Quality indicators are divided into 3 time periods: preprocedure, intraprocedure, and postprocedure. The main pre-procedural indicators are the assessment of the appropriateness of indication of colonoscopy and the prescription of adequate bowel preparation during a consultation prior to colonoscopy. Per-procedural criteria include all technical aspects of the procedure, which are "endoscopist-dependent" factors, particularly cecal intubation, detection of adenomas and withdrawal time. The main post-procedure indicators are the rate of complications, patient experience and optimal surveillance intervals following removal of colorectal polyps. The implementation of key performance measures in endoscopy practice is increasingly important as it can help improving our care of patients and optimize outcomes. In this review, the "Club d'endoscopie digestive" (CED) presented a summary of the main colonoscopy quality indicators, and suggested recommendations that took into account the particularities of our local conditions.
结肠镜检查被认为是预防、筛查和诊断结直肠病变的最有效工具。结肠镜检查的有效性被确定为一个主要优先事项，它严格依赖于质量措施。因此，制定了结肠镜检查质量指标的国际指南，旨在降低与结肠镜检查中漏诊病变相关的间隔期癌症的发生率。质量指标分为三个时间段：术前、术中、术后。主要的术前指标是评估结肠镜检查适应证的适当性以及在结肠镜检查前的咨询中开具足够的肠道准备的处方。术中标准包括该过程的所有技术方面，这些都是“内镜医生依赖”的因素，特别是盲肠插管、腺瘤的检测和退出时间。主要的术后指标是并发症的发生率、患者的体验以及结直肠息肉切除后最佳的监测间隔。在内镜实践中实施关键绩效措施越来越重要，因为它可以帮助改善我们对患者的护理并优化结果。在本次综述中，“消化内镜俱乐部”（CED）总结了主要的结肠镜检查质量指标，并提出了考虑到我们当地情况特殊性的建议。
