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Nomenclature and semantic description of vascular lesions in small bowel capsule endoscopy: an international Delphi consensus statement

机译:小肠胶囊内镜检查中血管病变的命名和语义描述:国际德尔菲共识声明

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Background and study aims Nomenclature and descriptions of small bowel (SB) vascular lesions in capsule endoscopy (CE) are scarce in the medical literature. They are mostly based on the reader's opinion and thus differ between experts, with a potential negative impact on clinical care, teaching and research regarding SBCE. Our aim was to better define a nomenclature and to give a description of the most frequent vascular lesions in SBCE. Methods A panel of 18 European expert SBCE readers was formed during the UEGW 2016 meeting. Three experts constructed an Internet-based four-round Delphi consensus, but did not participate in the voting process. They built questionnaires that included various still frames of vascular lesions obtained with a third-generation SBCE system. The 15 remaining participants were asked to rate different proposals and description of the most common SB vascular lesions. A 6-point rating scale (varying from ‘strongly disagree’ to ‘strongly agree’) was used successive rounds. The consensus was reached when at least 80?% voting members scored the statement within the ‘agree’ or ‘strongly agree’. Results Consensual terms and descriptions were reached for angiectasia/angiodysplasia, erythematous patch, red spot/dot, and phlebectasia. A consensual description was reached for more subtle vascular lesions tentatively named “diminutive angiectasia” but no consensus was reached for this term. Conclusion An international group has reached a consensus on the nomenclature and descriptions of the most frequent and relevant SB vascular lesions in CE. These terms and descriptions are useful in daily practice, for teaching and for medical research purposes.
机译:背景和研究目的胶囊内窥镜检查(CE)中对小肠(SB)血管病变的命名和描述在医学文献中很少。它们主要基于读者的意见,因此专家之间存在差异,对SBCE的临床护理,教学和研究有潜在的负面影响。我们的目的是更好地定义术语,并描述SBCE中最常见的血管病变。方法在UEGW 2016会议期间,由18名欧洲SBCE专家读者组成了一个小组。三名专家构建了基于互联网的四轮Delphi共识,但未参加投票过程。他们建立了调查表,其中包括使用第三代SBCE系统获得的各种血管病变静止帧。其余15名参与者被要求对最常见的SB血管病变的不同建议和描述进行评分。连续几轮使用了6分制的评分量表(从“完全不同意”到“强烈同意”)。当至少80%的投票成员在“同意”或“强烈同意”中对声明进行评分时,就达成了共识。结果达成了关于血管扩张/血管增生,红斑,红点/斑点和静脉扩张的一致术语和描述。对于更细微的血管损伤,已达成共识,暂定名为“小血管扩张”,但该术语未达成共识。结论国际组织已就CE中最常见和最相关的SB血管病变的命名和描述达成共识。这些术语和描述可用于日常实践,教学和医学研究目的。

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