Experience with routine office sigmoidoscopy using the 60-cm flexible colonoscope in private practice
Experience with routine office sigmoidoscopy using the 60-cm flexible colonoscope in private practice
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在私人诊所使用 60 厘米柔性结肠镜进行常规办公室乙状结肠镜检查的经验
DOI：
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发表时间：
1983
影响因子：
3.9
通讯作者：
J. R. Hilsabeck
中科院分区：
文献类型：
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作者：
J. R. Hilsabeck
基于报告的成功和安全性，在964例患者中进行了1121次乙状结肠镜检查，由一名外科医生私下进行，作为常规的办公室筛查程序，使用柔性60 cm乙状结肠镜而不是刚性25 cm器械。检查距离的加倍使特异性或非特异性肿瘤和炎症性肠病的诊断率加倍。与钡灌肠检查相比，其诊断率更高：肿瘤5∶1，炎症7∶1，> 1cm息肉3∶1，假阴性、假阳性或可疑X线表现5∶1。在所有检查中均未遇到严重并发症，包括在办公室进行的72例息肉切除术。该研究支持柔性纤维乙状结肠镜作为一种主要的筛查工具，用于个人在私人实践中真正评估结肠直肠下部60 cm的内部是否有肿瘤，以及用于诊断和监测局限于该区域的肠道疾病或肿瘤。
Based on reported success and safety, 1121 sigmoidoscopies were performed in 964 patients seen privately by one surgeon, as a routine office screening procedure, using the flexible 60-cm sigmoidoscope instead of the rigid 25-cm instrument. The doubling of the distance that was examined doubled the diagnostic yield for neoplasia and inflammatory bowel disease, specific or nonspecific. As compared with bariumenema examinations, the yield was even greater: 5∶1 for neoplasia, 7∶1 for inflammation, 3∶1 for polyps >1 cm, and 5∶1 for false-negative, false-positive, or equivocal x-ray findings. No serious complications were encountered in any of the examinations including 72 polypectomies performed in the office. The study supports flexible fiberoptic sigmoidoscopy as a major screening tool for individuals in private practive in truly evaluating the interior of the lower 60-cm of the colorectum for neoplasia and for the diagnosis and monitoring of bowel disease or neoplasia confined to that area.