Beitler Alan L, Wortmann Glenn W, RenomDeLaBaume Henri, Hofmann Luke J, Goff James M
Department of Surgery, Department of Veterans Affairs-New Jersey Healthcare System, East Orange, NJ 07018-1095, USA.
Mil Med. 2006 Jun;171(6):530-3. doi: 10.7205/milmed.171.6.530.
The objective was to examine the safety and efficacy of the 48th Combat Support Hospital's use of diagnostic endoscopy in Afghanistan.
A retrospective review was performed on the medical records of all endoscopy patients treated at the 48th Combat Support Hospital in Bagram, Afghanistan, from December 6, 2002 through June 7, 2003.
Twenty-four patients (male, 21; female, 3; mean age, 35 years) underwent 28 endoscopic procedures as follows: colonoscopy, 14; esophagogastroduodenoscopy (EGD), 13; and flexible sigmoidoscopy, 1. Four patients underwent both EGD and colonoscopy. There were no complications. Of the 18 U.S. military patients, 3 (15%) were evacuated for further evaluation and/or treatment and 1 (5%) patient underwent an elective screening colonoscopy. For 14 of 17 U.S. military personnel (82%), the endoscopic procedures obviated evacuation from Afghanistan.
Diagnostic colonoscopy and EGD were valuable and safe adjuncts that precluded evacuations out of theater for 82% of military patients. Endoscopy should be used when U.S. military operations necessitate the deployment of large numbers of forces for protracted periods.
本研究旨在探讨第48战斗支援医院在阿富汗使用诊断性内窥镜检查的安全性和有效性。
对2002年12月6日至2003年6月7日期间在阿富汗巴格拉姆第48战斗支援医院接受内窥镜检查的所有患者的病历进行回顾性分析。
24例患者（男性21例，女性3例；平均年龄35岁）接受了28例内窥镜检查，具体如下：结肠镜检查14例；食管胃十二指肠镜检查（EGD）13例；乙状结肠镜检查1例。4例患者同时接受了EGD和结肠镜检查。无并发症发生。18例美国军事患者中，3例（15%）被后送以进行进一步评估和/或治疗，1例（5%）患者接受了选择性筛查结肠镜检查。17例美国军事人员中有14例（82%），内窥镜检查避免了从阿富汗后送。
诊断性结肠镜检查和EGD是有价值且安全的辅助检查手段，使82%的军事患者无需后送至战区外。当美国军事行动需要长期部署大量部队时，应使用内窥镜检查。
