Eckardt V F, Kanzler G, Willems D
Gastroenterologisches Institut Wiesbaden, Federal Republic of Germany.
Gastrointest Endosc. 1989 Nov-Dec;35(6):512-5. doi: 10.1016/s0016-5107(89)72900-x.
A randomized controlled study was carried out in 400 patients to investigate whether same-day sigmoidoscopy impairs the quality of a double contrast barium enema. There was no difference with regard to spasm, fluid, and air retention as well as barium coat in patients undergoing both procedures during the same day or on different days. The overall quality of the radiographic films received similar ratings in a blind appraisal by an outside radiologist. In contrast, the performance of sigmoidoscopy was facilitated by the more thorough bowel cleansing for same-day procedures. It is concluded that same-day sigmoidoscopy and double contrast barium enema diminishes the cost and patient discomfort for colonic investigation without impairing its quality, provided that CO2 instead of air is used during the endoscopic study.
对400例患者进行了一项随机对照研究，以调查当日乙状结肠镜检查是否会影响双重对比钡灌肠的质量。在同一天或不同天接受这两种检查的患者中，在痉挛、液体和气体潴留以及钡剂涂布方面没有差异。外部放射科医生在盲法评估中对所获得的X光片的总体质量给予了相似的评分。相比之下，当日检查时更彻底的肠道清洁有助于乙状结肠镜检查的操作。得出的结论是，当日乙状结肠镜检查和双重对比钡灌肠在不影响结肠检查质量的情况下，降低了成本并减轻了患者的不适，前提是在内镜检查期间使用二氧化碳而非空气。
