Abstract
Colonoscopy has been established as the gold standard for the detection of colorectal neoplasms. Adenoma detection rate (ADR) is one of the most important quality indicator of colonoscopy, and, as it has been recommended by a European Society of Gastrointestinal Endoscopy (ESGE), the benchmark for ADR is 20%. However, ADR widely varies, and almost one fourth of polyps and adenomas are missed. Currently several techniques have been developed with the aim to improve the quality of colonoscopy. Among them there are image-enhanced endoscopy (IEE) and techniques or devices that improve mucosal observation. IEE includes chromoendoscopy and virtual chromoendoscopy (NBI, FICE, AFI, i-scan); among techniques which enable better observation of the mucosa there are add-on devices, such as transparent cap, Endocuff, Endocuff Vision, Endorings; and wide-angle colonoscopes (full spectrum endocopy - FUSE). In the literature review, these mentioned techniques and their effect on ADR are described.
Highlights
Прицельная хромоскопия, при которой контраст распыляется непосредственно над обнаруженным образованием, показала себя как эффективная методика диагностики плоских образований [18]
Chung SJ, Kim D, Song JH, et al Efficacy of computed virtual chromoendoscopy on colorectal cancer screening: a prospective, randomized, back-to-back trial of Fuji Intelligent Color Enhancement versus conventional colonoscopy to compare adenoma miss rates
Summary
Дуванский Владимир Анатольевич, Заместитель директора по научной работе, руководитель отделения эндоскопической хирургии; заведующий кафедрой эндоскопии, эндоскопической и лазерной хирургии Чесалина Яна Олеговна, м.н.с. Deputy Director for Research, Head of the Department of Endoscopic Surgery; Head of the Department of Endoscopy, Endoscopic and Laser Surgery Yana O. Колоноскопия — «золотой стандарт» диагностики неоплазий толстой кишки. Одним из наиболее значимых критериев качества колоноскопии, согласно рекомендациям ESGE, считается показатель выявленных аденом (ADR), который должен составлять не менее 20%. И при колоноскопии пропускается почти четверть аденом и полипов. В обзоре литературы описаны указанные технологии и их влияние на показатель выявленных аденом. Ключевые слова: колоректальный рак, колоноскопия, показатель выявленных аденом, хромоскопия, виртуальная хромоскопия, дистальный колпачок, Endocuff, Endorings, FUSE
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