2018WEO建议_监测间隔选择的结肠镜检查质量要求.pdfVIP

Digestive Endoscopy 2018; : – doi: 10.1111/den.13229 Original Article Colonoscopy quality requisites for selecting surveillance intervals: A World Endoscopy Organization Delphi Recommendation Rodrigo Jover,1 Evelien Dekker,3 Robert E. Schoen,4 Cesare Hassan,6 Maria Pellise,2 Uri Ladabaum5 and on behalf of the WEO Expert Working Group of Surveillance after colonic neoplasm† 1Servicio de Medicina Digestiva Hospital General Universitario de Alicante, Instituto de Investigacion Sanitaria, ISABIAL, Alicante, 2Gastroenterology Department, Hospital Clınic de Barcelona, Institut d’Investigacions Biomediques August Pi i Sunyer (IDIBAPS), Centro de Investigacion Biomedica en Red de Enfermedades Hepaticas y Digestivas (CIBERehd), Universitat de Barcelona, Barcelona, Spain, 3Department of Gastroenterology Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands, 4Department of Medicine, University of Pittsburgh, Pittsburgh, 5Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Palo Alto, USA and 6Endoscopy Unit, ‘Nuovo Regina Margherita’ Hospital, Rome, Italy Background and Aims: Different post-polypectomy guideli- only if the whole cecum has been inspected, including the nes underscore the need for high-quality baseline colonoscopy ileocecal valve and the appendiceal orifice (agreement score before appropriate surveillance recommendations can be 4.63; degree of consensus 82%); (ii) quality of the bowel made. Standards for colonoscopy practice have been advo- preparation should always be reported (agreement score 4.9, cated by gastrointestinal societies. Our aims were to define degree of consensus 94%); and (iii) it is pref