Smejkal K
Clinic of Surgery, Hradec Králové.
Sb Ved Pr Lek Fak Karlovy Univerzity Hradci Kralove. 1991;34(4):305-57.
In the retrospective study the author shows the survey of 4,468 gastro and colonofiberscopies performed at the Endoscopic Unit of the Clinic of Surgery in Hradec Králové during the time span 1981-1990. Indications and contraindications, as well as the conditions for performing these endoscopies are being considered. Experiences with the optimum preparation of such patients are also described. Furthermore, the question of the occurrence and importance of gastrointestinal polyps is being discussed. In the second part of this study mainly the problematics of the endoscopical polypectomy is revealed. This set includes 612 patients with polyps in both the upper and lower parts of the gastrointestinal tract. The group of polyps has been divided and studied in greater detail from several points of view, such as their histological character, morphology, localization, clinical symptomatology and others. The endoscopic treatment of polyps is further compared with the alternative way of treatment. The survey of complications is also given. In the discussion and conclusion the follow-up policy, which differs from that of some other authors, is being supported and further ways of diagnosis in this field are outlined, too.
在这项回顾性研究中，作者展示了1981年至1990年期间在赫拉德茨克拉洛韦外科诊所内镜科进行的4468例胃和结肠镜检查的调查情况。文中考虑了这些内镜检查的适应证、禁忌证以及操作条件。还描述了此类患者最佳准备工作的经验。此外，还讨论了胃肠道息肉的发生情况及其重要性。在本研究的第二部分，主要揭示了内镜下息肉切除术的相关问题。该组包括612例上消化道和下消化道均有息肉的患者。从息肉的组织学特征、形态、位置、临床症状等多个角度对息肉组进行了更详细的分类和研究。还将息肉的内镜治疗与其他治疗方式进行了比较。同时给出了并发症的调查情况。在讨论和结论部分，支持了与其他一些作者不同的随访策略，并概述了该领域进一步的诊断方法。
