Endoscopy | Issue 8/2022 主编精选免费论文 2022-08-18
Endoscopy最新一期现已上线，欢迎免费阅读本期三篇主编精选论文。
近期结肠憩室出血的保守治疗与较高的30天再出血率相关；另一方面，内镜套扎术 (Endoscopic Band Ligation) 和夹闭术都被证明是有效的。在本期的第一篇精选论文中，Kobayashi等人对49家日本医院的1679名患者进行了回顾性研究。发现，与夹闭术相比，内镜套扎术显示早期和晚期再出血率较低，对介入放射学的需求较少，住院时间较短，但在手术或输血需求方面没有显着差异。
计算机辅助检测 (Computer-aided detection) 可以提高腺瘤检出率 (Adenoma Detection Rate )，基于实时监控的计算机辅助质量改进 (CAQ) 可以确保低退出速度。本期的第二篇精选论文来自 Yao 等人的随机对照研究，其中包括对 CADe、CAQ、CADe加CAQ或两者都不进行比较的四组。两种干预措施均独立地改善了ADR。联合治疗组的ADR改善甚至更大，但仅与CADe单药治疗相比，而与CAQ单药治疗相比并非如此。
胃肠道内窥镜检查对环境的重大影响直到最近才被注意到。本期第三篇精选论文是ESGE和欧洲胃肠病学和内镜护士学会 (ESGENA) 的立场声明，收集了关于该主题的当前已知信息，并提供了关于减少我们领域中所有相关药物的环境足迹的实际建议。
Issue 08 · Volume 54 · August 2022
Effectiveness and adverse events of endoscopic clipping versus band ligation for colonic diverticular hemorrhage: a large-scale multicenter cohort study
Kobayashi Katsumasa et al.
Prior studies have shown the effectiveness of both endoscopic band ligation (EBL) and clipping for colonic diverticular hemorrhage (CDH) but have been small and conducted at single centers. Therefore, Kobayashi et al investigated which was the more effective and safe treatment in a multicenter long-term cohort study.
Effect of an artificial intelligence-based quality improvement system on efficacy of a computer-aided detection system in colonoscopy: a four-group parallel study
Tandem colonoscopy studies have found that about one in five adenomas are missed at colonoscopy. It remains debatable whether the combination of a computer-aided polyp detection (CADe) system with a computer-aided quality improvement (CAQ) system for real-time monitoring of withdrawal speed results in additional benefits in adenoma detection or if the synergetic effect may be harmed due to excessive visual burden resulting from information overload. This study aimed to evaluate the interaction effect on improving the adenoma detection rate (ADR).
Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement
de Santiago Enrique Rodríguez et al.
This Position Statement from the European Society of Gastrointestinal Endoscopy (ESGE) and the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) reviews the available data on the environmental impact of gastrointestinal endoscopy. It aims to raise awareness of this growing problem that demands urgent action and to outline strategies to achieve sustainable endoscopy practice (“green endoscopy”).
