Milsom Jeffrey W, Pua Bradley P, Sedrakyan Art, Lowenfeld Lea, Yeo Heather L
Section of Colon and Rectal Surgery, Department of Surgery, Center for Intelligent Image-Guided Interventions (CI3), New York Presbyterian Hospital/Weill Cornell Medicine, New York.
Division of Interventional Radiology, Center for Intelligent Image-Guided Interventions (CI3), New York Presbyterian Hospital/Weill Cornell Medicine, New York.
Clin Colon Rectal Surg. 2023 Jul 17;37(5):346-354. doi: 10.1055/s-0043-1770949. eCollection 2024 Sep.
Major innovation into how we pursue diagnosis and therapies for gastrointestinal (GI) diseases is urgently needed to seek better, less invasive, and less costly innovations in diagnostic and therapeutic interventions in the GI tract. Learning from prior paradigm shifts in cardiac and vascular we present here several initial steps we have undertaken to follow the endoluminal path, using advanced imaging methods, including endoscopy, and data management with of entry into a body cavity when possible. We will review the benefit and ease of incorporating routine fluoroscopy with endoscopy to improve safety and efficiency. We describe the development of "hybrid" procedure rooms for GI interventions and rationale for their use. We also emphasize the importance of collaborating with interventional radiologists, software engineers, and data specialists. We predict major improvement in outcomes in both diagnosis and treatment will follow.
迫切需要在我们对胃肠道（GI）疾病的诊断和治疗方法上进行重大创新，以寻求在胃肠道诊断和治疗干预中更好、侵入性更小且成本更低的创新。借鉴心脏和血管领域先前的范式转变，我们在此介绍我们已采取的几个初步步骤，即使用包括内窥镜检查在内的先进成像方法，沿着腔内路径进行，并尽可能在进入体腔时进行数据管理。我们将回顾将常规荧光透视与内窥镜检查相结合以提高安全性和效率的益处和便利性。我们描述了用于胃肠道干预的“混合”手术室的开发及其使用原理。我们还强调了与介入放射科医生、软件工程师和数据专家合作的重要性。我们预测诊断和治疗的结果都将有重大改善。
