您的位置: 首页 > 2024年2月 第55卷 第2期 > 文字全文
2023年7月 第38卷 第7期11
目录

近端和远端结直肠无蒂锯齿状病变在临床和内镜的特征研究

Differences in clinical and endoscopic features between proximal and distal colorectal sessile serrated lesions

来源期刊: 广州医药 | 127-131 发布时间:2024-03-06 收稿时间:2025/11/13 18:50:44 阅读量:30
作者:
关键词:
无蒂锯齿状病变内镜特征黏液帽近端结肠远端结直肠
sessile serrated lesionsendoscopic featuresmucus capproximal colondistal colorectum
DOI:
10.3969/j.issn.1000-8535.2024.02.004
收稿时间:
2023-09-29 
修订日期:
 
接收日期:
 
引用总数:
2  
目的 探讨近端和远端结直肠无蒂锯齿状病变在临床和内镜特征上的区别。方法 回顾性分析103例结直肠无蒂锯齿状病变患者的临床内镜资料,对近端和远端结直肠无蒂锯齿状病变患者在性别、年龄、内镜特征(息肉大小、山田分型、内镜NICE分型、蛇形微血管、黏液帽)等方面进行比较。结果 与远端结直肠无蒂锯齿状病变相比,近端结肠无蒂锯齿状病变发病年龄更早(P=0.014),内镜下山田1型息肉更为常见(P=0.050),黏液帽也是近端结肠无蒂锯齿状病变的重要内镜特征(P<0.001)。结论 近端无蒂锯齿状病变内镜下扁平隐匿,容易漏诊,掌握其内镜特征有助于提高该病的检出率。
Objective To explore the differences in clinical and endoscopic characteristics of sessile serrated lesions in the proximal and distal colorectum.Methods The clinical endoscopic data of 103 patients with sessile serrated lesions of the colorectum were retrospectively analyzed.The gender,age and endoscopic features(polyp size,Yamada classification,NICE classification,dilate vessels and the mucus cap)of patients with proximal and distal colorectal sessile serrated lesions were compared retrospectively.Results Compared with distal colorectal sessile serrated lesions,the age of onset of proximal colon sessile serrated lesions was earlier(P=0.014),endoscopic Yamada type 1 polyps were more common(P=0.050),and mucus cap was also an important endoscopic feature of proximal colon sessile serrated lesions(P<0.001).Conclusions The proximal sessile serrated lesions are flat and hidden under endoscopic examination which are easily missed.Understanding their endoscopic characteristics can help improve the detection rate of the disease.
1、 CLARK B T,LAINE L.High-quality bowel preparation is required for detection of sessile serrated polyps[J].Clin Gastroenterol Hepatol,2016,14(8):1155-1162. CLARK B T,LAINE L.High-quality bowel preparation is required for detection of sessile serrated polyps[J].Clin Gastroenterol Hepatol,2016,14(8):1155-1162.
2、 ?INES M,HELSINGEN L M,BRETTHAUER M,et al.Epidemiology and risk factors of colorectal polyps[J].Best Pract Res Clin Gastroenterol,2017,31(4):419-424. ?INES M,HELSINGEN L M,BRETTHAUER M,et al.Epidemiology and risk factors of colorectal polyps[J].Best Pract Res Clin Gastroenterol,2017,31(4):419-424.
3、 IJSPEERT J E,de WIT K,van der VLUGT M,et al.Prevalence,distribution and risk of sessile serrated adenomas/polyps at a center with a high adenoma detection rate and experienced pathologists[J].Endoscopy,2016,48(8):740-746. IJSPEERT J E,de WIT K,van der VLUGT M,et al.Prevalence,distribution and risk of sessile serrated adenomas/polyps at a center with a high adenoma detection rate and experienced pathologists[J].Endoscopy,2016,48(8):740-746.
4、 van TOLEDO D E,IJSPEERT J E,BOSSUYT P M,et al.Serrated polyp detection and risk of interval post-colonoscopy colorectal cancer:A population-based study[J].Lancet Gastroenterol Hepatol,2022,7(8):747-754. van TOLEDO D E,IJSPEERT J E,BOSSUYT P M,et al.Serrated polyp detection and risk of interval post-colonoscopy colorectal cancer:A population-based study[J].Lancet Gastroenterol Hepatol,2022,7(8):747-754.
5、 IBá?EZ-SANZ G,SANZ-PAMPLONA R,GARCIA M,et al.Future prospects of colorectal cancer screening:Characterizing interval cancers[J].Cancers,2021,13(6):1328. IBá?EZ-SANZ G,SANZ-PAMPLONA R,GARCIA M,et al.Future prospects of colorectal cancer screening:Characterizing interval cancers[J].Cancers,2021,13(6):1328.
6、 AMEMORI S,YAMANO H O,TANAKA Y,et al.Sessile serrated adenoma/polyp showed rapid malignant transformation in the final 13 months[J].Dig Endosc,2020,32(6):979-983. AMEMORI S,YAMANO H O,TANAKA Y,et al.Sessile serrated adenoma/polyp showed rapid malignant transformation in the final 13 months[J].Dig Endosc,2020,32(6):979-983.
7、 BETTINGTON M,WALKER N,ROSTY C,et al.Clinicopathological and molecular features of sessile serrated adenomas with dysplasia or carcinoma[J].Gut,2017,66(1):97-106. BETTINGTON M,WALKER N,ROSTY C,et al.Clinicopathological and molecular features of sessile serrated adenomas with dysplasia or carcinoma[J].Gut,2017,66(1):97-106.
8、 EAST J E,ATKIN W S,BATEMAN A C,et al.British Society of Gastroenterology position statement on serrated polyps in the colon and rectum[J].Gut,2017,66(7):1181-1196. EAST J E,ATKIN W S,BATEMAN A C,et al.British Society of Gastroenterology position statement on serrated polyps in the colon and rectum[J].Gut,2017,66(7):1181-1196.
9、 SATORRES C,GARCíA-CAMPOS M,BUSTAMANTE-BALéN M.Molecular features of the serrated pathway to colorectal cancer:Current knowledge and future directions[J].Gut Liver,2021,15(1):31-43. SATORRES C,GARCíA-CAMPOS M,BUSTAMANTE-BALéN M.Molecular features of the serrated pathway to colorectal cancer:Current knowledge and future directions[J].Gut Liver,2021,15(1):31-43.
10、 WU Z,YAO L,LIU W,et al.Development and validation of a deep learning-based histologic diagnosis system for diagnosing colorectal sessile serrated lesions[J].Am J Clin Pathol,2023,160(4):394-403. WU Z,YAO L,LIU W,et al.Development and validation of a deep learning-based histologic diagnosis system for diagnosing colorectal sessile serrated lesions[J].Am J Clin Pathol,2023,160(4):394-403.
11、 YOSHIDA N,INAGAKI Y,INADA Y,et al.Additional 30-second observation of the right-sided colon for missed polyp detection with texture and color enhancement imaging compared with narrow band imaging:A randomized trial[J].Am J Gastroenterol,2023. YOSHIDA N,INAGAKI Y,INADA Y,et al.Additional 30-second observation of the right-sided colon for missed polyp detection with texture and color enhancement imaging compared with narrow band imaging:A randomized trial[J].Am J Gastroenterol,2023.
12、 NISHIMOTO S,KUDO T,HORIUCHI I,et al.Cap-assisted colonoscopy can increase the rate of sessile serrated lesion detection at the left lateral decubitus position:a retrospective case-control study[J].Medicine,2023,102(38):e35264. NISHIMOTO S,KUDO T,HORIUCHI I,et al.Cap-assisted colonoscopy can increase the rate of sessile serrated lesion detection at the left lateral decubitus position:a retrospective case-control study[J].Medicine,2023,102(38):e35264.
13、 SACCO M,de PALMA F D,GUADAGNO E,et al.Serrated lesions of the colon and rectum:Emergent epidemiological data and molecular pathways[J].Open Med,2020,15(1):1087-1095. SACCO M,de PALMA F D,GUADAGNO E,et al.Serrated lesions of the colon and rectum:Emergent epidemiological data and molecular pathways[J].Open Med,2020,15(1):1087-1095.
14、 NAGTEGAAL I D,ODZE R D,KLIMSTRA D,et al.The 2019 WHO classification of tumours of the digestive system[J].Histopathology,2020,76(2):182-188. NAGTEGAAL I D,ODZE R D,KLIMSTRA D,et al.The 2019 WHO classification of tumours of the digestive system[J].Histopathology,2020,76(2):182-188.
15、 UTSUMI T,YAMADA Y,DIAZ-MECO M T,et al.Sessile serrated lesions with dysplasia:Is it possible to nip them in the bud?[J].J Gastroenterol,2023,58(8):705-717. UTSUMI T,YAMADA Y,DIAZ-MECO M T,et al.Sessile serrated lesions with dysplasia:Is it possible to nip them in the bud?[J].J Gastroenterol,2023,58(8):705-717.
1、陆会飞,于静,危贵君.联动成像技术联合透明帽辅助结肠镜检查对结直肠SSL检出率的影响[J].中国现代医生,2025,63(15):15-18. 陆会飞,于静,危贵君.联动成像技术联合透明帽辅助结肠镜检查对结直肠SSL检出率的影响[J].中国现代医生,2025,63(15):15-18.
2、张子旭,王唯一,周璐,等.无蒂型锯齿状腺瘤/息肉误诊为增生性息肉的原因分析及内镜特征[J].临床误诊误治,2025,38(10):1-6. 张子旭,王唯一,周璐,等.无蒂型锯齿状腺瘤/息肉误诊为增生性息肉的原因分析及内镜特征[J].临床误诊误治,2025,38(10):1-6.
上一篇
下一篇
出版者信息








《广州医药》公众号
目录