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Endoscopy News: issue 6/2025 is ready! 2025-06-17


Endoscopy

Issue 06 · Volume 57 · June 2025

Submit Your E-Videos

E-VideosEndoscopy的开放获取在线专栏,专注于报道胃肠内镜领域具有研究价值的病例和新技术。所有文章均附有高质量视频,并采用知识共享署名许可协议(CC-BY)进行出版。

了解更多:https://endoscopy.thieme.com/e-videos 


Endoscopy 2025年第6期现已上线。欢迎免费阅读本期主编精选的三篇论文。

对于接受内镜黏膜切除术(EMR)治疗的大肠息肉患者,术后是否需要通过常规活检取样监测局部复发?在本期首篇精选论文中,Meulen等人开展了一项前瞻性多中心研究,涵盖30家荷兰社区医院和1227例患者。研究发现,通过光学评估监测EMR术后瘢痕处的复发情况具有高准确性,其阴性预测值达98%。这表明,对EMR术后瘢痕进行常规活检可能并非必要,且术后普遍进行标记物(如纹身)定位也缺乏必要性。

本期刊载了欧洲胃肠道内镜学会(ESGE)发布的两篇立场声明:一篇涉及结直肠计算机辅助检测(CADe),另一篇关于胃肠道内镜诊疗环境影响的报告规范。ESGE认为,对于已决定接受结肠镜筛查或监测的知情患者,多数会倾向于在结肠镜检查过程中使用CADe辅助技术。然而,由于证据有限、对结直肠癌发病率和死亡率的绝对获益较低,以及CADe可能增加患者负担,该推荐仅能作为弱推荐。

《内镜可持续性核心报告要素(E-SPARE)》立场声明回顾了胃肠道内镜诊疗环境影响的相关文献,并提出一个框架,旨在提高此类可持续性研究报告的清晰度、透明度和质量。

欢迎阅读本期三篇精选论文及其它全部论文。

Original article

Optical assessment of scars after endoscopic mucosal resection of large colorectal polyps in a multicenter, community hospital setting: is routine biopsy still necessary?

Meulen Lonne WT et al.

Background: Piecemeal endoscopic mucosal resection (EMR) of large (≥ 20 mm) nonpedunculated colorectal polyps (LNPCPs) is succeeded by a 6-month surveillance endoscopy to evaluate the post-EMR scar for recurrence. Data from expert centers suggest that routine tattoo placement and scar biopsies can be omitted, but data from community hospitals are lacking.

Optical assessment of scars.jpg

Position Statement

Use of computer-assisted detection (CADe) colonoscopy in colorectal cancer screening and surveillance: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Bretthauer Michael et al.

This statement conveys the European Society of Gastrointestinal Endoscopy (ESGE) position on the use of computer-aided detection (CADe) with artificial intelligence (AI) during colonoscopy for colorectal cancer (CRC) screening or surveillance. The ESGE position is informed by the BMJ Rapid Recommendation initiative and the approach of the MAGIC Evidence Ecosystem Foundation; these include systematic reviews of currently available evidence, supplemented by microsimulation modeling and patient values and preferences, for the benefits and harms of AI CADe devices during colonoscopy.

Use of computer-assisted detection 2.png

Position Statement

Endoscopic Sustainability PrimAry Reporting Essentials (E-SPARE): European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Cunha Neves João A et al.

A growing number of studies aim to evaluate gastrointestinal (GI) endoscopy services from the perspective of their environmental impact. However, there are currently no guidelines or frameworks which provide specifically for the reporting of endoscopy sustainability studies, and a variety of metrics and assessment tools have been employed in the literature. To improve the clarity, transparency, and quality of reporting, the European Society of Gastrointestinal Endoscopy (ESGE) has developed a reporting framework for the community of researchers interested in conducting studies on sustainable GI endoscopy.

Endoscopic Sustainability PrimAry 22.png

欧洲胃肠道内镜学会(ESGE)及其附属学会的官方期刊。

Endoscopy为关于胃肠道内窥镜检查的最新技术和国际发展的重要期刊。在国际编委会的专家指导下,本刊提供高质量的内容,以满足全球内窥镜医师、外科医生、临床医生和研究人员的需求。

Endoscopy每年出版12期,内容包括高质量的综述论文、原创论文、前瞻性研究、有价值的诊断和治疗进展调查、以及对最重要的国内和国际会议进行的深入报道。文章经常辅以在线视频内容。

在Endoscopy上出版的所有论文都经过严格的同行评审。基于在线投稿和快速处理,保证了电子版和印刷版的出版速度。