Vakil N
University of Wisconsin Medical School, Aurora Sinai Medical Center, 945 North 12th Street, Rm. 4040, Milwaukee, WI 53233, USA.
Endoscopy. 2006 Mar;38(3):276-8. doi: 10.1055/s-2006-924984.
The role of endoscopy in reflux disease has changed from being primarily diagnostic to one of risk management. Objective studies of routine endoscopy have shown little change in outcomes after the examination. Screening and surveillance for Barrett's esophagus is still an unconfirmed strategy. In most developed countries, including western Europe and North America, middle-aged patients (over the age of 50) with gastroesophageal reflux disease would benefit more from colonoscopy than upper endoscopy.
内镜检查在反流性疾病中的作用已从主要用于诊断转变为风险管理手段之一。对常规内镜检查的客观研究表明，检查后结果变化不大。巴雷特食管的筛查和监测仍是一种未经证实的策略。在包括西欧和北美在内的大多数发达国家，患有胃食管反流病的中年患者（50岁以上）从结肠镜检查中获益比上消化道内镜检查更多。
