Schrock T R
Department of Surgery, University of California Medical Center, San Francisco 94143-0144.
Surg Endosc. 1988;2(4):240-4. doi: 10.1007/BF00705330.
Fiberoptic colonoscopy is 25 years old this year. Improvement in instruments led rapidly to wide acceptance of colonoscopy in diagnosis and therapy of colorectal diseases. The diagnosis of benign and malignant neoplasms was revolutionized by colonoscopy. The differential diagnosis of inflammatory bowel disease, assessment of its extent and severity, response to treatment, and potential for development of cancer are all made easier by colonoscopy. Colonoscopy has improved the diagnosis of diverticular disease, rectal bleeding, identification of ischemia, and other problems. Therapeutic colonoscopy has radically changed the management of colonic polyps, and colonoscopic polypectomy is now the standard form of treatment for most of these lesions. Treatment of bleeding lesions, decompression of obstruction, and removal of foreign bodies are other examples of therapeutic colonoscopic procedures.
今年，纤维结肠镜检查已有25年历史。器械的改进迅速使结肠镜检查在结直肠疾病的诊断和治疗中得到广泛接受。结肠镜检查彻底改变了良性和恶性肿瘤的诊断。结肠镜检查使炎症性肠病的鉴别诊断、其范围和严重程度的评估、对治疗的反应以及癌症发生的可能性都变得更加容易。结肠镜检查改善了憩室病、直肠出血、缺血识别及其他问题的诊断。治疗性结肠镜检查彻底改变了结肠息肉的处理方式，如今结肠镜下息肉切除术是大多数此类病变的标准治疗形式。治疗出血性病变、解除梗阻及取出异物是治疗性结肠镜检查操作的其他例子。
