有关肠镜的七个常见问题

 

你是感觉不到息肉在肠里生长的。50岁以上有息肉的比例是: 女性20％，男性30％。做肠镜时除去息肉可以阻止癌症发生，即把肠癌消灭在萌芽之中。

那么是什么阻止你做Colonoscopy这个检查呢?

以下是除息肉的方法:

去平息肉(remove flat polyps)的方法叫ESD(endoscopic submucosal dissection). 这还是美国医生从日本医生那里学来的. with ESD, endoscopists dissect the polyp, using a solution to lift, cut and burn the unwanted tissue, or sometimes they even create a tunnel underneath it to take it out in one piece.

其它的方法:

Snare polypectomy, the classic polyp removal technique that most endoscopists use

Endoscopic mucosal resection (EMR), which combines the snaring technique with a solution, as in ESD

Endoscopic full-thickness resection (EFTR), which involves removing the colonic wall that contains the polyp and closing the opening internally, with clips, so there’s no need for a bowel resection.

 

医生为你解答这七个常见的问题(七个连播的短视频)

 

 

If You Have No Symptoms, Do You Really Need a Colonoscopy?

 

Isn’t Colonoscopy Painful, Even With Twilight Sleep?

 

 

因图片有版权, 想看用哪些药和它们被用的平均镇静剂量的请点击以下(常用的一种是Fentanyl(芬太尼)):

Figure 1.

Proportional rates of individual sedative usage between 2000 and 2013.

 

 

Figure 2.

Average dose of sedation by age group of patients undergoing colonoscopy.

来源: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4973564/