内镜下上消化道黏膜清洁度评分系统研究进展

Advances in Mucosal Cleanliness Scoring Systems for Esophagogastroduodenoscopy

摘要:

上消化道内镜是诊断上消化道疾病尤其上消化道肿瘤的金标准,而消化道黏膜清洁度不足常常导致病变漏诊。近年来,上消化道黏膜清洁度评分系统的研究取得显著进展。克雷马胃清洁度评分、波兰上消化道准备评分系统、巴塞罗那量表、多伦多上消化道清洁度评分及罗马胃镜清洁度评估量表等5种评分工具相继发表,它们在部位划分、标准设定等方面各具特点,但也有一定的局限。未来,人工智能技术有望克服人工评分的主观局限性,推动内镜下上消化道黏膜清洁度评分系统的广泛应用。

Abstract:

Esophagogastroduodenoscopy is the gold standard for diagnosing upper gastrointestinal diseases, particularly upper gastrointestinal tumors. However, inadequate mucosal cleanliness in the digestive tract often leads to missed diagnoses. In recent years, significant progress has been made in the development of scoring systems for upper gastrointestinal mucosal cleanliness. Five validated scales have been introduced including the Crema Stomach Cleaning Score, the Polprep scoring system, the Barcelona Scale, the Toronto Upper Gastrointestinal Cleaning Score, and the Gastroscopy Rate of Cleanliness Evaluation Scale. These tools each exhibit distinct characteristics in anatomical division and evaluation criteria, yet they also present certain limitations. In the future, artificial intelligence technology may overcome the limitations of manual assessment, promoting the widespread application of scoring systems for upper gastrointestinal mucosal cleanliness in clinical practice.