Tate J J, Royle G T
University Surgical Unit, Royal South Hampshire Hospital, Southampton.
Gut. 1988 Oct;29(10):1322-5. doi: 10.1136/gut.29.10.1322.
An open access endoscopy service for direct referral of patients suspected to have colonic neoplasia has been analysed. In the first year of the service 137 patients were referred by 52 general practitioners. The most common reason for referral was rectal bleeding (58%). Colonoscopy was done without outpatient consultation or barium enema examination in 130 patients: there were no complications. The diagnostic yield was 57%: 34 patients (25%) had neoplasia (cancer 14, adenoma 20), which was higher than the yield of neoplasia in patients referred for open access double contrast barium enema during the same period. Only nine patients (7%) needed further investigation because colonoscopy was incomplete and 21 (16%) were treated by polypectomy at the diagnostic colonoscopy.
对一项用于直接转诊疑似患有结肠肿瘤患者的开放式内镜检查服务进行了分析。在该服务开展的第一年，52名全科医生转诊了137名患者。转诊的最常见原因是直肠出血（58%）。130名患者未经过门诊咨询或钡剂灌肠检查就进行了结肠镜检查：未出现并发症。诊断率为57%：34名患者（25%）患有肿瘤（癌症14例，腺瘤20例），这高于同期因开放式双对比钡剂灌肠转诊患者的肿瘤诊断率。只有9名患者（7%）因结肠镜检查不完整需要进一步检查，21名患者（16%）在诊断性结肠镜检查时接受了息肉切除术治疗。
