The evolution of lower gastrointestinal endoscopy: where are we now?

IF 3 Q2 GASTROENTEROLOGY & HEPATOLOGY Therapeutic Advances in Gastrointestinal Endoscopy Pub Date : 2020-12-20 eCollection Date: 2020-01-01 DOI:10.1177/2631774520979591

Arun Sivananthan, Ben Glover, Lakshmana Ayaru, Kinesh Patel, Ara Darzi, Nisha Patel

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Abstract

Lower gastrointestinal endoscopy has evolved over time, fulfilling a widening diagnostic and therapeutic remit. As our understanding of colorectal cancer and its prevention has improved, endoscopy has progressed with improved diagnostic technologies and advancing endoscopic therapies. Despite this, the fundamental design of the endoscope has remained similar since its inception. This review presents the important role lower gastrointestinal endoscopy serves in the prevention of colorectal cancer and the desirable characteristics of the endoscope that would enhance this. A brief history of the endoscope is presented. Current and future robotic endoscopic platforms, which may fulfil these desirable characteristics, are discussed. The incorporation of new technologies from allied scientific disciplines will help the endoscope fulfil its maximum potential in preventing the increasing global burden of colorectal cancer. There are a number of endoscopic platforms under development, which show significant promise.

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下消化道内窥镜的发展：我们现在在哪里？

下消化道内窥镜检查随着时间的推移不断发展，其诊断和治疗范围也在不断扩大。随着我们对结直肠癌及其预防的认识不断提高，内镜检查也随着诊断技术的改进和内镜疗法的发展而不断进步。尽管如此，内窥镜的基本设计自诞生以来一直保持相似。这篇综述介绍了下消化道内窥镜在预防结直肠癌方面发挥的重要作用，以及内窥镜的理想特性，这些特性将增强内窥镜的预防作用。本文简要介绍了内窥镜的历史。讨论了当前和未来可能满足这些理想特性的机器人内窥镜平台。结合相关科学学科的新技术将有助于内窥镜发挥最大潜力，预防全球日益沉重的结直肠癌负担。目前有许多内窥镜平台正在开发中，前景十分广阔。

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