Issue 09 · Volume 55 · September 2023
Endoscopy 2023年第9期现已上线。欢迎免费阅读本期主编精选的三篇论文。
如果胆道狭窄发生时没有肿块综合征,则很难在ERCP期间通过胆道刷准确诊断胆管癌。在本期第一篇精选论文中,Karsenti等人在法国12家专家中心的51名患者中,比较了使用新型高磨蚀性胆道刷和传统胆道刷的效果。尽管能提供更多的细胞进行显微分析,但研磨性更强的刷子在诊断胆管癌方面并无明显优势。
本期第二篇精选论文来自Nass等人,他们提出了一种新的综合质量衡量标准 "教科书流程(Textbook Process, TP)",用于评估结肠镜检查最佳流程。通过与20位国际专家的德尔菲共识过程,最终确定了包括10个项目的衡量标准。通过对荷兰两家内窥镜检查机构的数据进行前瞻性收集,将其应用于临床实践时,5962/8227次结肠镜检查(72.5%)达到了TP,48名内窥镜医师的TP率差异显著(41.0%-89.1%)。
上述综合措施自然包括充分的肠道准备,这对于结肠镜检查病变的识别至关重要。 分次剂量肠道准备 (SDBP) 已被证明比前一天的方法能提供更好的清洁效果。 那么SDBP应该成为规则吗?本期第三篇精选论文是Dolovich等人在加拿大进行的一项研究,发现对于清晨结肠镜检查,在肠道清洁方面,可选的SDBP方案不如强制性的 SDBP,而患者的体验没有什么不同。
欢迎阅读本期三篇精选论文及其它全部论文。
作者请注意!
请阅读我们最新的Endoscopy E-Video作者指南。您可以点击这里下载幻灯片模板来准备视频。同时您还可以查看示例视频、表格与说明等更多信息。
Original article
Karsenti David et al.
The diagnosis of cholangiocarcinoma in patients with a biliary stricture without mass syndrome can be obtained by biliary brushing with a sensitivity of ~50 %. The authors performed a multicenter randomized crossover trial comparing the aggressive Infinity brush with the standard RX Cytology Brush. The aims were to compare sensitivity for cholangiocarcinoma diagnosis and cellularity obtained.
Original article
High quality colonoscopy: using textbook process as a composite quality measure
Nass Karlijn J et al.
High quality colonoscopy is fundamental to good patient outcomes. “Textbook outcome” has proven to be a feasible multidimensional measure for quality assurance between surgical centers. In this study, Nass et al sought to establish the “textbook process” (TP) as a new composite measure for the optimal colonoscopy process and assessed how frequently TP was attained in clinical practice and the variation in TP between endoscopists.
Original article
Dolovich Casandra et al.
Multiple devices are available for tissue approximation. A new through-the-scope suturing (TTSS) device has recently been introduced; however, data on its scope of use and clinical effectiveness are limited. Krishnan et al. aimed to assess the clinical course and effectiveness of this TTSS device.