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老年人吞咽困难:对内镜医师意味着什么?

Dysphagia in the elderly: what does it mean to the endoscopist?

作者信息

Bannister P, Stanners A J, Mountford R A

机构信息

Department of Geriatrics & Medicine, Bristol Royal Infirmary.

出版信息

J R Soc Med. 1990 Sep;83(9):552-3. doi: 10.1177/014107689008300906.

DOI:10.1177/014107689008300906
PMID:2213799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1292811/
Abstract

The role of fibreoptic endoscopy in the investigation of dysphagia in an elderly population was investigated. Three hundred and sixty-five subjects were studied. Two hundred and sixty subjects had abnormalities with extra oesophageal disease accounting for symptoms in a substantial minority. Endoscopy was safe, offered the advantage of immediate therapy and was well tolerated. Sub-group analysis showed it to be preferable to radiological investigation in diagnosing both benign and malignant mucosal lesions.

摘要

研究了纤维内镜检查在老年吞咽困难患者检查中的作用。共对365名受试者进行了研究。260名受试者存在食管外疾病异常,少数患者症状由该疾病引起。内镜检查安全,具有可立即进行治疗的优势,且耐受性良好。亚组分析表明,在内镜诊断良性和恶性黏膜病变方面优于放射学检查。

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本文引用的文献

1
Efficacy of radiology of the esophagus for evaluation of dysphagia.
Gastrointest Radiol. 1981;6(2):109-10. doi: 10.1007/BF01890233.
2
Endoscopic insertion of palliative oesophageal tubes in oesophagogastric neoplasms.
Br J Surg. 1981 Mar;68(3):197-8. doi: 10.1002/bjs.1800680318.
3
Radiological assessment of dysphagia with endoscopic correlation.吞咽困难的影像学评估与内镜相关性分析
Radiology. 1985 Dec;157(3):599-602. doi: 10.1148/radiology.157.3.4059545.
4
Endoscopic evaluation of dysphagia in the elderly.老年人吞咽困难的内镜评估
Age Ageing. 1987 May;16(3):159-64. doi: 10.1093/ageing/16.3.159.
5
Upper gastrointestinal endoscopy in patients aged 80 years or more.80岁及以上患者的上消化道内镜检查
Age Ageing. 1986 Nov;15(6):343-9. doi: 10.1093/ageing/15.6.343.