Aktuelle Standards und Perspektiven in der koloskopischen Adenomdetektion

Zusammenfassung

Durch endoskopische Entfernung von Adenomen kann deren Progress zu kolorektalen Karzinomen vermieden und die Zahl der Todesfälle aufgrund von kolorektalen Karzinomen reduziert werden. Das Übersehen von Adenomen bedroht diese Effekte und kann im Auftreten von Intervallkarzinomen resultieren. Somit bedarf es der weiteren Optimierung der koloskopischen Vorsorge. Sowohl untersucherbezogene Aspekte als auch neue technische Entwicklungen werden nachfolgend diskutiert.

Abstract

Endoscopic removal of adenomas may prevent development of colon cancer and reduce colon cancer related death. Precursor lesions missed during endoscopy however, may hamper this effect and account for interval cancers. Therefore, measures are needed to further improve the quality of colonoscopic surveillance. Both, factors related to the endoscopist as well as new technical developments are discussed.

Schlüsselwörter

kolorektales Karzinom - Adenome - endoskopische Detektion

Key words

colon cancer - adenoma - endoscopic detection

• Literatur

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