Jak technologia Olympus może pomóc Ci w zwiększeniu wskaźnika ADR?

Cyfrowe platformy Olympus – EVIS X1, EVIS EXERA III oraz EVIS LUCERA ELITE – zapewniają doskonałe oświetlenie dla obrazowania NBI™, umożliwiając tym samym lepszą obserwację jelita grubego.

Metaanaliza obejmująca 11 badań z udziałem 4 491 pacjentów wykazuje, że obrazowanie NBI dostępne w platformach cyfrowych przewyższa obrazowanie w świetle białym pod względem wskaźnika wykrywalności gruczolaków (ADR). 49

Wcześniejsze badania z wykorzystaniem technologii NBI w systemie EVIS EXERA III również wykazały znaczący wzrost wskaźnika ADR w porównaniu do obrazowania w świetle białym – nawet o 14% – oraz zmniejszenie wskaźnika przeoczenia zmian. 20,50,21

Skuteczne raportowanie wyników histopatologii polipów ma kluczowe znaczenie dla monitorowania wskaźnika ADR. Technologia NBI™ umożliwia diagnostykę optyczną z wysokim poziomem pewności i spełnia kryteria programu PIVI Amerykańskiego Towarzystwa Endoskopii Przewodu Pokarmowego (ASGE) dotyczące wdrażania strategii „RESECT & LEAVE” oraz „RESECT & DISCARD” w przypadku drobnych polipów jelita grubego (< 5 mm).  22,23,24 W rezultacie europejskie i amerykańskie towarzystwa gastroenterologiczne (ESGE, ASGE oraz NICE) poparły stosowanie technologii NBI do diagnostyki optycznej polipów jelita grubego.  25,26,48

Dlaczego określenie wskaźnika ADR jest trudne?

ADR jest wskaźnikiem kumulatywnym, na który wpływa wiele czynników demograficznych, proceduralnych oraz związanych ze sprzętem. Na wskaźnik ADR ma wpływ m.in. płeć pacjenta 15 i może się on różnić między placówkami w zależności od demografii ich pacjentów. Różne czynniki związane z procedurą, takie jak czas wycofywania endoskopu 47 , jakość przygotowania pacjenta 17 , planowanie zabiegów 18 , stosowanie kolonoskopii z wymianą wody 19 oraz wykorzystanie sprzętu HDTV 20 zostały zidentyfikowane jako istotnie zwiększające wskaźnik ADR.

Aby prawidłowo raportować i monitorować wskaźnik ADR, konieczne jest uwzględnienie wyników histopatologii. W związku z tym, po uzyskaniu wyników histologicznych, konieczne jest poświęcenie dodatkowego czasu i wysiłku na aktualizację dokumentacji pacjenta.

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