结直肠锯齿状病变切除术后结肠镜随访监测研究进展  

Progress of Research on Colonoscopic Surveillance Following Resection of Colorectal Serrated Lesions

作　　者：赵艳清 黄应龙[2] ZHAO Yanqing;HUANG Yinglong(Inner Mongolia Medical University,Hohhot,010107;Department of Gastroenterology,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot)

机构地区：[1]内蒙古医科大学,010107 [2]内蒙古医科大学附属医院消化内科

出　　处：《胃肠病学》2024年第8期502-506,共5页Chinese Journal of Gastroenterology

基　　金：内蒙古自治区自然科学基金(2023MS08004);内蒙古医科大学面上项目(YKD2022MS030);内蒙古自治区科技计划项目(2020GG0196)。

摘　　要：随着结直肠癌(CRC)筛查项目的普及,结直肠锯齿状病变(CSL)作为重要的癌前病变,其发病率和患病率逐渐升高,该类病变切除后的结肠镜随访监测管理成为预防CRC的关键环节之一。近年来,不同行业协会陆续发布和更新了关于CSL切除术后的结肠镜监测指南,但由于人群特征和地理位置不同,这些指南之间存在显著差异。本文就CSL切除术后结肠镜随访监测的研究进展作一综述,旨在总结支持CSL切除术后结肠镜监测的证据,比较并归纳主要指南更新要点,以期为制定符合我国国民特征的监测指南或共识提供参考,从而降低CRC的发病率和死亡率。With the widespread implementation of colorectal cancer(CRC)screening programs,colorectal serrated lesions(CSL),as important precursor of CRC,have shown a steady rise in both incidence and prevalence.Post⁃resection colonoscopic surveillance and follow⁃up management of CSL become a critical process of CRC prevention.In recent years,various professional societies have issued and updated guidelines on colonoscopic surveillance following CSL resection.However,substantial discrepancies exist among these guidelines due to variations in population characteristics and geographical locations.This article reviewed the progress of research on colonoscopic surveillance following CSL resection,aiming to summarize the evidence supporting colonoscopic surveillance following CSL resection,compare and summarize the key updates in major guidelines,and provide a reference for formulating relevant guidelines or consensus statements that align with the characteristics of the Chinese population,ultimately contributing to reduce the incidence and mortality rates of CRC.

关 键 词：锯齿状病变 结直肠肿瘤 结肠镜检查 监测 

分 类 号：R73[医药卫生—肿瘤]