Bat L, Williams C B
St. Mark's Hospital for Diseases of the Rectum and Colon, London, England.
Gastrointest Endosc. 1989 Jul-Aug;35(4):329-32. doi: 10.1016/s0016-5107(89)72803-0.
Use of small diameter, extraflexible pediatric colonoscopes has proved to be valuable in adult endoscopy practice, not only for passing strictures and stomas but also where either fixation due to diverticular disease or postoperative adhesions, or unavoidably painful looping made passage of adult colonoscopes impossible. In 70 of 78 (92%) of the cases where the adult colonoscope could not be passed through the sigmoid colon by an expert endoscopist, the pediatric colonoscope passed through, often very easily. Fifteen of these patients were considered to have been saved surgery by successful passage. The "failure" rate for all colonoscopy examinations was only 2%; this low failure rate was attributable to the use of pediatric instruments whenever passage through the sigmoid colon proved to be impossible with standard colonoscopes. In our opinion every unit performing frequent colonoscopies should have a pediatric colonoscope available for selected adult patients as well as for use in children.
事实证明，使用小直径、超灵活的儿科结肠镜在成人内镜检查实践中具有重要价值，不仅适用于通过狭窄部位和造口，而且适用于因憩室病或术后粘连导致固定，或不可避免地出现疼痛性肠袢，致使成人结肠镜无法通过的情况。在78例成人结肠镜无法由专家内镜医师通过乙状结肠的病例中，70例（92%）使用儿科结肠镜成功通过，而且通常很容易。其中15例患者因成功通过而避免了手术。所有结肠镜检查的“失败”率仅为2%；这一低失败率归因于当标准结肠镜无法通过乙状结肠时使用了儿科器械。我们认为，每个经常进行结肠镜检查的单位都应配备儿科结肠镜，以供选定的成年患者以及儿童使用。
