Schwesinger W H, Levine B A, Ramos R
Surg Gynecol Obstet. 1979 Feb;148(2):270-81.
Colonoscopy, when performed for appropriate indications and by experienced, competent personnel, is a remarkably safe procedure. The occasional complications which occur may be the result of pneumatic, mechanical or electrical injuries to the colon or may develop as secondary disorders involving other organ systems. Most complications can be successfully prevented by adequately preparing both the endoscopist and the patient and by avoiding colonoscopy when specific contraindications are present. Should complications occur, their management generally follows established surgical principles. Even though colonoscopy has made a dramatic impact upon the diagnosis of and therapy for disease of the large intestines, it is important for practitioners to be mindful of its limitations. Future developments, applied rationally, can be expected to extend its usefulness and further improve its safety.
结肠镜检查在适应证恰当且由经验丰富、技术熟练的人员操作时，是一种非常安全的检查方法。偶尔出现的并发症可能是结肠受到气体、机械或电损伤的结果，也可能是涉及其他器官系统的继发性疾病。通过充分准备内镜医师和患者，并在存在特定禁忌证时避免进行结肠镜检查，大多数并发症是可以成功预防的。如果发生并发症，其处理通常遵循既定的外科原则。尽管结肠镜检查对大肠疾病的诊断和治疗产生了巨大影响，但从业者必须牢记其局限性。合理应用未来的发展有望扩大其用途并进一步提高其安全性。
