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。
内镜检查时漏诊了大量上消化道癌症,但这方面的数据有限。Januszewicz等人进行了一项基于波兰登记包括400多万患者的研究。他们发现6%的上消化道癌症被漏诊,其中食管腺癌最容易被忽视。欢迎阅读本期第一篇精选论文。
本期第二篇论文来自Carballal等人进行的一项回顾性西班牙研究,他们发现在9582例粪便免疫化学试验 (FIT) 阳性的筛查者中,2.2%(215例)有腺瘤性息肉病,即被定义有10个或10个以上腺瘤。排除监测数据缺失或有锯齿状息肉病或遗传性综合征的患者后,对其余161例个体的分析显示,在初次结肠镜检查时,5%患有结直肠癌,81%患有晚期肿瘤。结直肠癌的3年累积发病率为1%,晚期肿瘤为16%。
先进的治疗性内窥镜检查发展迅速,对个人的培训和相关的质量措施也给予了相应的关注。我们的第三篇精选论文关于ESGE质量改进倡议(ESGE Quality Improvement Initiative),它涉及整个高级内窥镜团队的发展,建议其实践应以与选择、接受、并发症、侦察、包络和记录相关的六个关键原则为基础(首字母组合即为“SACRED”)。
欢迎阅读本期三篇精选论文及其它全部论文。
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Issue 07 · Volume 54 · July 2022
Original article
Januszewicz Wladyslaw et al.
A significant proportion of upper gastrointestinal cancers (UGICs) remain undetected during esophagogastroduodenoscopy (EGD). Januszewicz et al. investigated the characteristics and risk factors of UGICs missed during endoscopy.
Original article
Carballal Sabela et al.
Current guidelines recommend genetic counseling and intensive colonoscopy surveillance for patients with ≥ 10 colorectal adenomas based on scarce data. The authors investigated the prevalence of this condition in a fecal immunochemical test (FIT)-based colorectal (CRC) screening program, and the incidence of metachronous lesions during follow-up.
Position Statement
Ching Hey-Long et al.
This is a Quality Improvement Initiative from the European Society of Gastrointestinal Endoscopy (ESGE). It provides recommendations aimed at developing the characteristics we consider important to any endoscopy team performing advanced procedures. These recommendations are based on a consensus among endoscopists considered to be experts in advanced gastrointestinal endoscopy and endoscopy service development.