结肠镜检查用于不明原因的直肠出血。
Colonoscopy for unexplained rectal bleeding.
作者信息
Swarbrick E T, Fevre D I, Hunt R H, Thomas B M, Williams C B
出版信息
Br Med J. 1978 Dec 16;2(6153):1685-7. doi: 10.1136/bmj.2.6153.1685.
Two hundred and thirty-nine patients underwent colonoscopy for unexplained rectal bleeding. Local anorectal conditions were excluded by digital and proctosigmoidoscopic examinations and results of barium studies were negative for all patients. A cause for bleeding was found in 95 patients. Thirty-nine had adenomatous polyps, 24 had unrecognised inflammatory bowel disease, and most importantly 23 (10% of series) had carcinomas. Forty patients had diverticular disease, but nine of them were found to have an adenomatous polyp and four a carcinoma. Colonoscopy can contribute positively to the investigation and treatment of unexplained rectal bleeding and may prevent unnecessary laparotomy.
239例患者因不明原因的直肠出血接受了结肠镜检查。通过指诊和直肠乙状结肠镜检查排除了局部肛肠疾病，所有患者的钡剂造影结果均为阴性。95例患者发现了出血原因。39例有腺瘤性息肉，24例有未被识别的炎症性肠病，最重要的是23例（占该系列的10%）患有癌症。40例有憩室病，但其中9例发现有腺瘤性息肉，4例有癌症。结肠镜检查可为不明原因的直肠出血的检查和治疗做出积极贡献，并可能避免不必要的剖腹手术。
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