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Endoscopy | issue 1/2022 主编精选论文 2022-01-04
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亲爱的读者朋友们,新年好!

Endoscopy 2022年第一期来了,欢迎阅读本期主编精选论文。

本期前两篇精选论有关前瞻性多中心随机试验,其结果可能非常直接地影响临床实践。

在加拿大的一项研究中,Chen等人报告称,为了准确诊断恶性肿瘤,使用叉尖针进行内镜超声(EUS)引导的细针活检(FNB)不劣于EUS引导的快速现场细胞学评价(ROSE)细针抽吸(FNA)。FNB手术也与更少的通过次数和更短的手术时间相关。

热圈套息肉切除术一直是切除5 mm以上结直肠息肉的标准治疗。然而,在西班牙7个中心进行的一项试验中,de Benito Sanz等人发现在5-9 mm息肉中,冷圈套技术的完全切除和出血率相当,术后腹痛较少。

准确的光学诊断在指导内镜检查的临床决策中越来越重要。ESGE立场声明提出了一个框架,用于定义与临床后果相关的光学诊断能力标准。欢迎阅读本期第三篇精选论文。

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Endoscopic ultrasound (EUS)-guided fine needle biopsy alone vs. EUS-guided fine needle aspiration with rapid onsite evaluation in pancreatic lesions: a multicenter randomized trial

Chen Yen-I et al.

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Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is the standard in the diagnosis of solid pancreatic lesions, in particular when combined with rapid onsite evaluation of cytopathology (ROSE). More recently, a fork-tip needle for core biopsy (FNB) has been shown to be associated with excellent diagnostic yield. EUS-FNB alone has however not been compared with EUS-FNA + ROSE in a large clinical trial. The authors' aim was to compare EUS-FNB alone to EUS-FNA + ROSE in solid pancreatic lesions. 

Efficacy and safety of cold versus hot snare polypectomy for small (5–9 mm) colorectal polyps: a multicenter randomized controlled trial

de Benito Sanz Marina et al.

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Resection techniques for small polyps include cold snare polypectomy (CSP) and hot snare polypectomy (HSP). This study compared CSP and HSP in 5–9 mm polyps in terms of complete resection and adverse events.

Methodological framework for development of competence standards for optical diagnosis in gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Houwen Britt B S L et al.

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This Position Statement is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). ESGE has a vision to create a thriving community of endoscopy services and endoscopists in Europe, to provide a high quality of endoscopy care. This Position Statement provides a methodological framework for the development of easy-to-measure competence standards that are focused on clinical consequences of optical diagnosis. The methodological framework presented has been established by a task force of experts in optical diagnosis who were involved in the ESGE Curricula Working Group for optical diagnosis training.