结肠胶囊内窥镜-通过结肠照射光线。

Q1 Medicine
Foong Way David Tai, Mark McAlindon, Reena Sidhu
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引用次数: 0

摘要

综述目的:结肠胶囊内窥镜(CCE)是一种无创的无线胶囊内窥镜。在本文中,我们回顾了其目前的应用,将其与光学结肠镜检查(OC)和CT结肠镜检查(CTC)等替代成像方式的性能进行了比较,并强调了可能增加潜在未来应用的发展。近期发现:CCE和CTC对结肠息肉的检测均较OC具有良好的敏感性和特异性。CCE在检测亚厘米息肉时更敏感。CCE能够检测结肠炎症和肛肠病变,这是CTC经常遗漏的。然而,完全CCE检查的率受到肠道准备不充分或结肠运输不完全的限制,而CTC可以在较少的肠道泻药的情况下进行。患者对CCE的耐受性优于OC,但患者对CCE和CTC的偏好有所不同。CCE和CTC都是OC的合理替代品。提高肠道准备完成率和充分性的策略将提高CCE的成本和临床效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Colon Capsule Endoscopy - Shining the Light through the Colon.

Purpose of review: Colon capsule endoscopy (CCE) is a non-invasive, wireless capsule endoscope. In this article, we review its current applications, compare its performance with optical colonoscopy (OC) and alternative imaging modalities like CT colonography (CTC), and highlight developments that may increase potential future use.

Recent findings: By comparison to OC both CCE and CTC have a good sensitivity and specificity in detecting colonic polyps. CCE is more sensitive in detecting sub centimetre polyps. CCE is capable of detecting colonic inflammation and anorectal pathologies, commonly missed by CTC. However, rates of complete CCE examinations are limited by inadequate bowel preparation or incomplete colonic transit, whereas CTC can be performed with less bowel purgatives. Patients tolerate CCE better than OC, however patient preference between CCE and CTC vary. CCE and CTC are both reasonable alternatives to OC. Strategies to improve completion rates and adequacy of bowel preparation will improve cost and clinical effectiveness of CCE.

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来源期刊
Current Gastroenterology Reports
Current Gastroenterology Reports Medicine-Gastroenterology
CiteScore
7.80
自引率
0.00%
发文量
19
期刊介绍: As the field of gastroenterology and hepatology rapidly evolves, the wealth of published literature can be overwhelming. The aim of the journal is to help readers stay abreast of such advances by offering authoritative, systematic reviews by leading experts. We accomplish this aim by appointing Section Editors who invite international experts to contribute review articles that highlight recent developments and important papers published in the past year. Major topics in gastroenterology are covered, including pediatric gastroenterology, neuromuscular disorders, infections, nutrition, and inflammatory bowel disease. These reviews provide clear, insightful summaries of expert perspectives relevant to clinical practice. An Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.
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