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首页> 外文期刊>Journal of the National Medical Association >Is Unsedated Colonoscopy Gaining Ground Over Sedated Colonoscopy?
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Is Unsedated Colonoscopy Gaining Ground Over Sedated Colonoscopy?

机译：未经配置的结肠镜检查是否在镇静结肠镜检查时获得地面？

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Colorectal cancer (CRC) is a prevalent cancer with high global incidence and a leading cause of cancer death worldwide. CRC screening is important for early cancer detection and prevention. Most premalignant adenomas can be identified and removed before they become malignant. Colonoscopy plays a vital role in reducing the risk for developing CRC. Although screening programs with colonoscopy have been implemented in many countries and considered beneficial for a number of people, this technique is generally associated with anxiety, embarrassment, pain, and discomfort, resulting in lack of adherence to the recommended screening guidelines. In the US, colonoscopy is mostly performed under sedation, thereby causing amnesia and analgesia. In contrast to sedated colonoscopy, which has been associated with some disadvantages, unsedated colonoscopy exhibits advantages and has been preferred over sedated colonoscopy in numerous cancer centers worldwide. This review enumerates the features of sedated and unsedated colonoscopy with the use of the current relevant evidence-based literature. Unsedated colonoscopy can be a reasonable option for routine and unscheduled CRC screening.
机译：结肠直肠癌（CRC）是一种普遍的癌症，具有高全球发病率和全世界癌症死亡原因。 CRC筛选对于早期癌症检测和预防是重要的。在恶性之前，可以识别和除去大多数初始腺瘤。结肠镜检查在降低开发CRC的风险方面发挥着至关重要的作用。虽然在许多国家已经实施了具有结肠镜检查的筛查计划并被认为有益于许多人，但这种技术通常与焦虑，尴尬，疼痛和不适有关，导致缺乏对推荐的筛查指南的依从性。在美国，结肠镜检查大多是在镇静下进行的，从而导致胃癌和镇痛。与已经与某些缺点有关的镇静结肠镜检查相比，未定义的结肠镜检查表现出优势并且在全球许多癌症中心的镇静结肠镜检查中是优选的。本次审查枚举了镇静剂和未定义的结肠镜检查的特征，利用了当前的相关证据的文献。未定义的结肠镜检查可以是常规和未安排的CRC筛选的合理选择。

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