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作 者:Ragul Rajivan Sreedhari Thayalasekaran
机构地区:[1]Buckingham Medical School,Milton Keynes MK181EG,United Kingdom [2]Department of Gastroenterology,University Hospitals of Leicester,Leicester LE15WW,United Kingdom
出 处:《World Journal of Gastrointestinal Endoscopy》2023年第5期354-367,共14页世界胃肠内镜杂志(英文版)(电子版)
摘 要:Colonoscopy and polypectomy remain the gold standard investigation for the detection and prevention of colorectal cancer.Halting the progression of colonic adenoma through adequate detection of pre-cancerous lesions interrupts the progression to carcinoma.The adenoma detection rate is a key performance indicator.Increasing adenoma detection rates are associated with reducing rates of interval colorectal cancer.Endoscopists with high baseline adenoma detection rate have a meticulous technique during colonoscopy withdrawal that improves their adenoma detection.This minireview article summarizes the evidence on the following simple operator techniques and their effects on the adenoma detection rate;minimum withdrawal times,dynamic patient position change and proximal colon retroflexion.
关 键 词:COLONOSCOPY Minimum withdrawal times Dynamic position change Proximal colon retroflexion
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