结肠镜检查的历史与技术进步:叙述性回顾。

IF 3 4区 医学 Q1 Medicine Translational gastroenterology and hepatology Pub Date : 2023-01-01 DOI:10.21037/tgh-23-4
Manesh Kumar Gangwani, Abeer Aziz, Dushyant Singh Dahiya, Mohamad Nawras, Muhammad Aziz, Sumant Inamdar
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引用次数: 2

摘要

背景和目的:结肠镜检查是一项不断发展的手术,是处理下消化道病变的主要诊断和治疗方式。它有几十年的历史,伴随着重大的内窥镜创新,最终导致了我们今天所知道的结肠镜的发展。方法:我们使用PubMed、Embase和Cochrane图书馆以非系统的方式回顾了多个数据库,以阐明当前正在进行的突破性进展和里程碑式成就的历史时间表。主要内容和发现:最初作为一个基本的刚性设备,使用蜡烛作为光源,原始结肠镜被调整为半刚性框架,以允许更好的可操作性。改进的镜片使观察质量得到提高,视频功能的发展以及诊断和治疗干预的能力使结肠镜完全转变为现代介入设备。它的效用在90年代末开始受到关注,当时发表了多份指南,支持它对结肠直肠癌筛查患者存活率的影响。多年来,结肠镜检查的治疗成分进一步发展,使其成为几种下消化道疾病的治疗方式,包括控制下消化道出血,处理大肠穿孔,异物清除和结肠狭窄扩张。随着技术的进步,结肠镜干预的成功率不断上升,新的治疗方式正在进行中,进一步增强了它们的作用。多种发展正在进行中,包括人工智能(AI)的使用,如endocff视觉,amplify EYE和G-EYE等,为结肠镜检查的未来带来了巨大的希望。结论:通过我们的综述,我们希望进一步加深临床医生对结肠镜的理解,并为结肠镜的进一步发展做出贡献。
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History of colonoscopy and technological advances: a narrative review.

Background and objective: Colonoscopy is an ever-growing procedure, being the primary diagnostic and therapeutic modality to manage lower gastrointestinal pathologies. It has a decades-old history with significant successive endoscopic innovations that eventually led to the development of the current colonoscope, as we know it today.

Methods: We reviewed multiple databases in non-systemic fashion using PubMed, Embase and Cochrane library to shed light on historic timeline of advancements and groundbreaking landmark achievements currently underway.

Key content and findings: Initially starting off as a rudimentary rigid, device that utilized candles as a light source, the primitive colonoscope was adapted to a semi-rigid framework to allow better maneuverability. Improved lenses allowed better viewing quality and the development of video capabilities with the capability of performing both diagnostic and therapeutic interventions transformed the colonoscope completely into a modern interventional device. Its utility started gaining attention in the late 90s when multiple guidelines were published, supporting its impact on survival for colorectal screening. Over the years, the therapeutic component of colonoscopy has evolved further allowing it to be used as a treatment modality for several lower gastrointestinal pathologies including control of lower gastrointestinal bleeds, management of large bowel perforation, foreign body removal and dilatation of colonic stenosis. With improving technological advances, success rates of colonoscopic interventions continue to rise and new therapeutic modalities underway further enhancing their role. Multiple developments are underway including use of artificial intelligence (AI) with as endocuff vision, amplify EYE and G-EYE among others that hold great promise for the future of colonoscopy.

Conclusions: With our review, we hope to further the understanding clinicians about the colonoscope and help contribute towards its further developments.

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来源期刊
CiteScore
8.20
自引率
0.00%
发文量
1
期刊介绍: Translational Gastroenterology and Hepatology (Transl Gastroenterol Hepatol; TGH; Online ISSN 2415-1289) is an open-access, peer-reviewed online journal that focuses on cutting-edge findings in the field of translational research in gastroenterology and hepatology and provides current and practical information on diagnosis, prevention and clinical investigations of gastrointestinal, pancreas, gallbladder and hepatic diseases. Specific areas of interest include, but not limited to, multimodality therapy, biomarkers, imaging, biology, pathology, and technical advances related to gastrointestinal and hepatic diseases. Contributions pertinent to gastroenterology and hepatology are also included from related fields such as nutrition, surgery, public health, human genetics, basic sciences, education, sociology, and nursing.
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