Alemayehu G, Järnerot G
Department of Medicine, Orebro Medical Center Hospital, Sweden.
Am J Gastroenterol. 1991 Feb;86(2):187-90.
Thirty-four patients who had severe ulcerative colitis had a colonoscopic examination during the attack. The indications were resistance to therapy and/or differential diagnostic purposes. Total colonoscopy was performed in 25 cases and less extensive examination in nine. Biopsy was taken in 22 cases. No clinically significant complications occurred. The procedure helped us to postpone immediate surgical intervention in 19 cases. Fourteen of these patients have maintenance treatment and are still well after a follow-up median time of 5 yr (6 months to 10 yr).
34例重症溃疡性结肠炎患者在发作期接受了结肠镜检查。检查指征为治疗抵抗和/或鉴别诊断。25例行全结肠镜检查，9例行范围较小的检查。22例行活检。未发生具有临床意义的并发症。该检查使我们能够将19例患者的即刻手术干预推迟。其中14例患者接受维持治疗，随访中位时间5年（6个月至10年）后仍状况良好。
