Effect of water exchange method on adenoma miss rate of patients undergoing selective polypectomy: A randomized controlled trial

被引：1
|
作者：
Ren, Gui [1 ,2 ]
Wang, Xiangping [1 ,2 ]
Luo, Hui [1 ,2 ]
Yao, Shaowei [3 ]
Liang, Shuhui [1 ,2 ]
Zhang, Linhui [1 ,2 ]
Dong, Tao [1 ,2 ]
Chen, Long [1 ,2 ]
Tao, Qin [1 ,2 ]
Guo, Xuegang [1 ,2 ]
Han, Ying [1 ,2 ]
Pan, Yanglin [1 ,2 ]
机构：
[1] Fourth Mil Med Univ, Natl Clin Res Ctr Digest Dis, State Key Lab Canc Biol, 127 Changle West Rd, Xian 710032, Shaanxi, Peoples R China
[2] Fourth Mil Med Univ, Xijing Hosp Digest Dis, 127 Changle West Rd, Xian 710032, Shaanxi, Peoples R China
[3] Xi An Jiao Tong Univ, Honghui Hosp, Dept Gastroenterol, Xian, Shaanxi, Peoples R China
来源：
DIGESTIVE AND LIVER DISEASE | 2021年 / 53卷 / 05期
基金：
中国国家自然科学基金;
关键词：
Adenoma miss rate; Water exchange colonoscopy; Polypectomy; Air insufflated colonoscopy; INTERVAL COLORECTAL-CANCER; COLONOSCOPY; MULTICENTER; POLYPS;
D O I：
10.1016/j.dld.2020.11.012
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Background: Adenomas may be missed in up to 40% of screening colonoscopies. Although the water exchange (WE) method can improve ADR, as shown in several RCTs, it remains uncertain whether it can increase the detection of missing adenomas compared with standard air-insufflated (AI) colonoscopy. Methods: Patients aged 18?80 years who underwent selective polypectomy were randomly allocated to the WE or AI group. The primary endpoint was the adenoma miss rate (AMR), defined as the number of patients with one or more additional adenomas during the polypectomy procedure divided by the total number of patients in each group.
引用
收藏
页码：625 / 630
页数：6
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