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胃肠内镜检查的进展:癌症诊断与管理创新的全面综述

Advances in gastrointestinal endoscopy: A comprehensive review of innovations in cancer diagnosis and management.

作者信息

Abusuliman Mohammed, Jamali Taher, Zuchelli Tobias E

机构信息

Department of Internal Medicine, Henry Ford Hospital, Detroit, MI 48202, United States.

Department of Gastroenterology, Henry Ford Hospital, Detroit, MI 48202, United States.

出版信息

World J Gastrointest Endosc. 2025 May 16;17(5):105468. doi: 10.4253/wjge.v17.i5.105468.

DOI:10.4253/wjge.v17.i5.105468
PMID:40438719
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12110152/
Abstract

The field of gastroenterology has experienced revolutionary advances over the past years, as flexible endoscopes have become widely accessible. In addition to enabling faster, less invasive, and more affordable treatment, flexible endoscopes have greatly improved the detection and endoscopic screening of malignancies and prevented many cancer-related deaths. The development and clinical application of new diagnostic endoscopic technologies, such as magnification endoscopy, narrow-band imaging, endoscopic ultrasound with biopsy, and more recently, artificial intelligence enhanced technologies, have made the recognition and detection of various neoplasms and sub-epithelial tumors more possible. This review demonstrates the latest advancements in endoscopic procedures, techniques, and devices applied in the diagnosis and management of gastrointestinal cancer.

摘要

在过去几年中,随着可弯曲内镜的广泛普及,胃肠病学领域取得了革命性进展。除了能够实现更快、侵入性更小且更经济实惠的治疗外,可弯曲内镜还极大地改善了恶性肿瘤的检测和内镜筛查,并预防了许多与癌症相关的死亡。新型诊断性内镜技术的发展和临床应用,如放大内镜、窄带成像、超声内镜活检,以及最近的人工智能增强技术,使得识别和检测各种肿瘤及上皮下肿瘤变得更加可行。这篇综述展示了应用于胃肠癌诊断和管理的内镜手术、技术及设备的最新进展。

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本文引用的文献

1
Establishment and validation of an artificial intelligence-based model for real-time detection and classification of colorectal adenoma.基于人工智能的结直肠腺瘤实时检测与分类模型的建立与验证。
Sci Rep. 2024 May 10;14(1):10750. doi: 10.1038/s41598-024-61342-6.
2
Endoscopic mucosal resection: tips and tricks for gastrointestinal trainees.内镜黏膜切除术:给胃肠病学实习医生的提示与技巧
Transl Gastroenterol Hepatol. 2023 Jul 17;8:25. doi: 10.21037/tgh-23-23. eCollection 2023.
3
Recent advances in endoscopic management of gastric neoplasms.胃肿瘤内镜治疗的最新进展
World J Gastrointest Endosc. 2023 May 16;15(5):319-337. doi: 10.4253/wjge.v15.i5.319.
4
Endoscopic tissue approximation in clinical practice and the OverStitch device: a narrative review.临床实践中的内镜组织对合与OverStitch装置:一项叙述性综述。
Ann Esophagus. 2023 Jun 25;6. doi: 10.21037/aoe-21-50. Epub 2021 Sep 7.
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Performance and comparison of artificial intelligence and human experts in the detection and classification of colonic polyps.人工智能与人类专家在结直肠息肉检测和分类中的表现及比较。
BMC Gastroenterol. 2022 Dec 13;22(1):517. doi: 10.1186/s12876-022-02605-2.
6
Suturing techniques with endoscopic clips and special devices after endoscopic resection.内镜切除术后使用内镜夹及特殊装置的缝合技术
Dig Endosc. 2023 Mar;35(3):287-301. doi: 10.1111/den.14427. Epub 2022 Oct 3.
7
Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022.用于浅表性胃肠道病变的内镜黏膜下剥离术:欧洲胃肠内镜学会(ESGE)指南 - 2022年更新版
Endoscopy. 2022 Jun;54(6):591-622. doi: 10.1055/a-1811-7025. Epub 2022 May 6.
8
Endoscopic Mucosal Resection: Best Practices for Gastrointestinal Endoscopists.内镜黏膜切除术:胃肠内镜医师的最佳实践
Gastroenterol Hepatol (N Y). 2022 Mar;18(3):133-144.
9
Clinical evaluation of a real-time artificial intelligence-based polyp detection system: a US multi-center pilot study.基于实时人工智能的息肉检测系统的临床评估:美国多中心试点研究。
Sci Rep. 2022 Apr 21;12(1):6598. doi: 10.1038/s41598-022-10597-y.
10
EMR and ESD: Indications, techniques and results.电子病历(EMR)和内镜黏膜下剥离术(ESD):适应证、技术和结果。
Surg Oncol. 2022 Aug;43:101742. doi: 10.1016/j.suronc.2022.101742. Epub 2022 Mar 18.