摘要
肠腺瘤性息肉内镜下切除术后进行结肠镜监测是结直肠癌筛查中至关重要的一步。在结肠镜筛查腺瘤性息肉确定患者风险分层的同时,必须要有与之相适应的随访规范。结直肠息肉内镜下切除术后的随访间隔是以患者既往史、家族史和初次高质量的结肠镜检查结果为基础而制定,本文基于对美国和欧洲息肉切除术后随访指南的理解和学习进行文献综述,初步探讨与息肉风险梯度相适应的结肠镜随访间隔时间。
Surveillance colonoscopy after endoscopic resection of colorectal adenomas is a crucial step in colorectal cancer screening. After identifying the patients at risk,a tailored follow-up colonoscopy surveillance strategy should be formulated. The follow up colonoscopy time interval after endoscopic resection of colorectal adenomas should be scheduled on the basis of past history,family history,and results of initial high quality colonoscopy examination. By reviewing the American and European guidelines for surveillance after polypectomy,a follow-up colonoscopy time interval schedule matched with the risk stratification is suggested for discussion.
出处
《胃肠病学》
2015年第7期424-427,共4页
Chinese Journal of Gastroenterology
基金
军队保健专项科研课题:军队中老年干部消化道肿瘤筛查及内镜下治疗的临床研究(12BJZ04)基金项目资助
关键词
结肠镜检查
肠息肉
结肠腺瘤性息肉病
研究随访
Colonoscopy
Intestinal Polyps
Adenomatous Polyposis Coli
Follow-up Studies
