Beyermann K, Stinner B, Hasselmann U, Rothmund M
Klinik für Allgemeinchirurgie, Philipps-Universität, Marburg.
Langenbecks Arch Chir. 1992;377(5):314-6. doi: 10.1007/BF00189478.
In a retrospective study of 610 patients the role of routine gastroscopy prior to cholecystectomy was investigated. The results demonstrated that only in a low incidence (11% of patients gastroscopied) relevant findings are present. However, most of these patients had a typical history. Therefore, despite risks, routine preoperative endoscopy prior to cholecystectomy should be performed only in patients with a history of upper abdominal pain or discomfort.
在一项对610例患者的回顾性研究中,对胆囊切除术前行常规胃镜检查的作用进行了调查。结果表明,仅在低发生率(接受胃镜检查患者的11%)时存在相关发现。然而,这些患者大多数有典型病史。因此,尽管存在风险,但仅应在有上腹部疼痛或不适病史的患者中进行胆囊切除术前的常规术前内镜检查。