Gupta Abhinav, Wlodarczyk Jordan, Cologne Kyle G
Division of Colorectal Surgery, Keck School of Medicine, University of Southern California Norris Cancer Center, Los Angeles, California.
Clin Colon Rectal Surg. 2023 Jul 17;37(5):340-345. doi: 10.1055/s-0043-1770948. eCollection 2024 Sep.
Advanced endoscopy has been shown to be useful in the diagnosis and treatment of both benign and low-grade malignant colorectal lesions. In fact, advanced endoscopic procedures are being adopted as standard approaches to these lesions in many places around the world; however, their implementation in the United States has not been as widespread. We ascribe the difficulty in implementation to two reasons: (1) lack of advanced endoscopic training and (2) failure in reimbursement models as they relate to endoscopy. In this article, we hope to describe these barriers and inspire colorectal surgeons to try and overcome them. As surgical specialists with a mastery of endoscopic techniques, colorectal surgeons would be able to maximize benefit for their patients and minimize health care costs in the long run.
先进的内镜检查已被证明在良性和低级别恶性结直肠病变的诊断和治疗中有用。事实上，先进的内镜手术在世界许多地方正被用作这些病变的标准治疗方法；然而，它们在美国的应用并不广泛。我们将实施困难归因于两个原因：（1）缺乏先进的内镜培训，（2）与内镜检查相关的报销模式存在问题。在本文中，我们希望描述这些障碍，并激励结直肠外科医生努力克服它们。作为精通内镜技术的外科专家，结直肠外科医生从长远来看将能够为患者带来最大利益，并将医疗保健成本降至最低。
