Zusammenfassung
Das Langzeitziel der Koloskopie ist die Vermeidung des kolorektalen Karzinoms. Bei
der Koloskopie werden viele kleine und einige größere Polypen und Adenome übersehen.
Die Rate übersehener flacher Läsionen ist höher als die von sessilen und gestielten
Läsionen. Technische Fortschritte wie z. B. die Chromoendoskopie oder das Narrow Band
Imaging können dabei helfen, die Detektion kleiner flacher Läsionen zu verbessern.
Dennoch wird die Koloskopie untersucherabhängig bleiben, so dass individuelle Adenome-Detektionsraten
ermittelt werden sollten.
Abstract
That long term goal of colonoscopy is to avoid colorectal cancer but colonoscopy misses
many small and some large polypes and adenomas. The miss rate of flat lesions is higher
than that of sessile and pedunculated lesions. Technical advanees, for example chromoendoscopy
or narrow band imaging may improre detection of small flat lesions. Nevertheless colonoscopy
is likely to remain operator-dependent. Therefore we must measure individual adenoma
detection rates.
Schlüsselwörter
Key words
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Prof. Dr. med. H.-J. Schulz
Klinik für Innere Medizin I · Sana Klinikum Lichtenberg
Fanningerstraße 32
10365 Berlin
Phone: 0 30 / 55 18 22 10
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Email: hj.schulz@sana-kl.de
