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Endoscopy | Issue 9/2022主编精选免费论文 2022-09-08

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,它们涵盖了不同的主题:胃癌的内窥镜筛查、胰管断开患者的胰液积聚 (PFC) 复发以及炎症性肠病 (IBD) 结肠镜检查表现的改善。

在全球胃癌死亡率最高的中国地区进行的一项基于人群的研究表明,通过筛查发现的胃癌患者的总体生存率和疾病特异性生存率明显优于未筛查的个体。李文庆等人发现这些有益效果通过重复筛选得到增强。

胰管断开的患者在发生围壁坏死后易发生PFC复发。在Chavan等人对104名此类患者进行的一项随机试验中,通过塑料支架替代用于初始引流的大口径金属支架与不进一步植入支架相比,未显著降低PFC复发,这意味着对有症状复发的选定病例可能是比普遍的塑料支架预防性交换更实用和更具成本效益的策略。

现有的结肠镜检查性能指标主要集中在检测(癌前)恶性病变,对IBD患者无用。最新的ESGE质量改进倡议提供了 IBD适应症结肠镜检查的质量指标,与临床疑似IBD、已知 IBD患者疾病活动评估和监测相关。

欢迎阅读本期三篇精选论文及其它全部论文。

Issue 09 · Volume 54 · September 2022

Original article

Beneficial effects of endoscopic screening on gastric cancer and optimal screening interval: a population-based study

Wen-Qing Li, Xiang-Xiang Qin, Zhe-Xuan Li, Le-Hua Wang, Zong-Chao Liu, Xiao-Han Fan, Li-Hui Zhang, Yi Li, Xiu-Zhen Wu, Jun-Ling Ma, Yang Zhang, Lan-Fu Zhang, Ming Li, Tong Zhou, Jing-Ying Zhang, Jian-Xi Wang, Wei-Dong Liu, Wei-Cheng You, Kai-Feng Pan

The effectiveness of endoscopic screening on gastric cancer has not been widely investigated in China and the screening interval of repeated screening has not been determined.

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Original article

Impact of transmural plastic stent on recurrence of pancreatic fluid collection after metal stent removal in disconnected pancreatic duct: a randomized controlled trial

Radhika Chavan, Zaheer Nabi, Sundeep Lakhtakia, Rajesh Gupta, Basha Jahangeer, Rupjyoti Talukdar, Aniruddha Pratap Singh, Arun Karyampudi, Raghavendra Yarlagadda, Mohan Ramchandani, Rakesh Kalapala, Nitin Jagtap, Manohar Reddy, Manu Tandan, Guduru Venkat Rao, Nageshwar D. Reddy

Disconnected pancreatic duct (DPD) after development of walled-off necrosis (WON) predisposes to recurrent (peri)pancreatic fluid collection (PFC). In this randomized controlled trial, the authors compared plastic stents with no plastic stent after removal of a large-caliber metal stent (LCMS) on incidence of recurrent PFCs in DPD.

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Review

Performance measures for colonoscopy in inflammatory bowel disease patients: European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Evelien Dekker, Karlijn J. Nass, Marietta Iacucci, Alberto Murino, João Sabino, Marek Bugajski, Cristina Carretero, George Cortas, Edward J. Despott, James E. East, Michal F. Kaminski, John Gásdal Karstensen, Martin Keuchel, Mark Löwenberg, Ashraf Monged, Olga M. Nardone, Helmut Neumann, Mahmoud M. Omar, Maria Pellisé, Laurent Peyrin-Biroulet, Matthew D. Rutter, Raf Bisschops

The European Society of Gastrointestinal Endoscopy (ESGE) presents a short list of performance measures for colonoscopy in inflammatory bowel disease (IBD) patients. Current performance measures for colonoscopy mainly focus on detecting (pre)malignant lesions. However, these performance measures are not relevant for all colonoscopy indications in IBD patients. Therefore, the autors' aim was to provide endoscopy services across Europe and other interested countries with a tool for quality monitoring and improvement in IBD colonoscopy. Eight key performance measures and one minor performance measure were recommended for measurement and evaluation in daily endoscopy practice.


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