Use of probe-based confocal laser endomicroscopy (pCLE) in gastrointestinal applications. A consensus report based on clinical evidence

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autor(en): Wang KK, Carr-Locke DL, Singh SK, Neumann H, Bertani H, Galmiche JP, Arsenescu RI, Caillol F, Chang KJ, Chaussade S, Coron E, Costamagna G, Dlugosz A, Gan SI, Giovannini M, Gress FG, Haluszka O, Ho KY, Kahaleh M, Konda VJ, Prat F, Shah RJ, Sharma P, Slivka A, Wolfsen HC, Zfass A
Zeitschrift: United European Gastroenterology Journal
Jahr der Veröffentlichung: 2015
Band: 3
Heftnummer: 3
Seitenbereich: 230-54
ISSN: 2050-6406
eISSN: 2050-6414


Abstract

Probe-based confocal laser endomicroscopy (pCLE) provides microscopic imaging during an endoscopic procedure. Its introduction as a standard modality in gastroenterology has brought significant progress in management strategies, affecting many aspects of clinical care and requiring standardisation of practice and training.This study aimed to provide guidance on the standardisation of its practice and training in Barrett's oesophagus, biliary strictures, colorectal lesions and inflammatory bowel diseases.Initial statements were developed by five group leaders, based on the available clinical evidence. These statements were then voted and edited by the 26 participants, using a modified Delphi approach. After two rounds of votes, statements were validated if the threshold of agreement was higher than 75%.Twenty-six experts participated and, among a total of 77 statements, 61 were adopted (79%) and 16 were rejected (21%). The adoption of each statement was justified by the grade of evidence.pCLE should be used to enhance the diagnostic arsenal in the evaluation of these indications, by providing microscopic information which improves the diagnostic performance of the physician. In order actually to implement this technology in the clinical routine, and to ensure good practice, standardised initial and continuing institutional training programmes should be established.


Autor(en) der externen Einrichtung(en)
Beth Israel Deaconess Medical Center (BIDMC)
Boston University
Catholic University of the Sacred Heart / Università Cattolica del Sacro Cuore
Columbia University
Cornell University
Hôpital Cochin
Institute Paoli-Calmettes
Karolinska Institute
Mayo Clinic
Nantes University Hospital / Centre hospitalier universitaire de Nantes (CHU)
National University of Singapore (NUS)
Nuovo Ospedale Civile S. Agostino-Estense
Ohio State University
Temple University
University of California Irvine
University of Chicago Medical Center
University of Colorado System
University of Pittsburgh
Veterans Affairs Medical Center Kansas City
Virginia Commonwealth University
Virginia Mason Medical Center


Zitierweisen

APA:
Wang, K.K., Carr-Locke, D.L., Singh, S.K., Neumann, H., Bertani, H., Galmiche, J.-P.,... Zfass, A. (2015). Use of probe-based confocal laser endomicroscopy (pCLE) in gastrointestinal applications. A consensus report based on clinical evidence. United European Gastroenterology Journal, 3(3), 230-54. https://dx.doi.org/10.1177/2050640614566066

MLA:
Wang, Kenneth K., et al. "Use of probe-based confocal laser endomicroscopy (pCLE) in gastrointestinal applications. A consensus report based on clinical evidence." United European Gastroenterology Journal 3.3 (2015): 230-54.

BibTeX: 

Zuletzt aktualisiert 2018-08-10 um 08:25