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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 66 - 71 (6page)
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Background/Aims: Because of the national screening program for colorectal carcinoma in The Netherlands, the number ofcolonoscopies has increased. In case of incomplete colonoscopy, computed tomography colonography (CTC) and double-ballooncolonoscopy (DBc) are alternative options. This study evaluated cecal intubation rate and pathology detection rate in the previouslyunexplored part of the colon, complication rate of DBc, and CTC results after incomplete colonoscopy. Methods: Retrospective observational study in a tertiary referral hospital regarding DBc and CTC reports from cases with incompletecolonoscopy. Results: Sixty-three DBcs were performed after incomplete colonoscopy. Cecal intubation rate was 95%. Detection rate was 58% (5%carcinoma and 3% high-grade dysplastic adenoma). CTC preceded 54% of DBcs and 62% of CTC findings were confirmed. In 16%,a biopsy was taken, and in 60%, an intervention (mostly polypectomy) was performed. One major complication (1.5%) occurred, i.e.,arterial bleeding due to polypectomy necessitating right hemicolectomy. CTC (n=213) showed a possible lesion in 35%, and could beconfirmed by follow-up endoscopy or surgery in 65%. Conclusions: DBc is effective and safe for completion of colon inspection in incomplete colonoscopy. In patients with a high likelihoodof pathology, DBc is preferred over CTC.
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참고문헌 (31)
참고문헌 신청
Micksche M / 2001 / Recommendations on cancer screening in the European Union / Bull Cancer 88:687~692
Rex DK / 2006 / Quality indicators for colonoscopy / Am J Gastroenterol 101:873~885
Pohl H / 2010 / Colorectal cancers detected after colonoscopy frequently result from missed lesions / Clin Gastroenterol Hepatol 8:858~864
Winawer SJ / 1993 / Prevention of colorectal cancer by colonoscopic polypectomy. The national polyp study workgroup / N Engl J Med 329:1977~1981
Zauber AG / 2012 / Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths / N Engl J Med 366:687~696
Rex DK / 2006 / Quality indicators for colonoscopy / Am J Gastroenterol 101:873~885
Pohl H / 2010 / Colorectal cancers detected after colonoscopy frequently result from missed lesions / Clin Gastroenterol Hepatol 8:858~864
Winawer SJ / 1993 / Prevention of colorectal cancer by colonoscopic polypectomy. The national polyp study workgroup / N Engl J Med 329:1977~1981
Zauber AG / 2012 / Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths / N Engl J Med 366:687~696
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