上消化道内镜检查：其对患者管理的影响。
Upper gastrointestinal endoscopy: its effects on patient management.
作者信息
Holdsworth C D, Bardhan K D, Balmforth G V, Dixon R A, Sladen G E
出版信息
Br Med J. 1979 Mar 24;1(6166):775-7. doi: 10.1136/bmj.1.6166.775.
Out of 95 patients referred for upper gastrointestinal endoscopy after a barium-meal examination, 44 underwent a change in management. Some changes were minor but in 12 patients a decision on surgery was required. Seven of these patients were among a group of 13 for whom the referring consultant would have recommended laparotomy had endoscopy not been available, while the other five were subjected to an unplanned laparotomy. These findings support the practice of performing endoscopy on patients whose symptoms are not fully explained by barium-meal examination, especially patients aged over 45. In such cases the procedure also seems to be cost-effective.
在95例经钡餐检查后转诊接受上消化道内镜检查的患者中，有44例的治疗方案发生了改变。有些改变较小，但有12例患者需要做出手术决定。其中7例患者来自一组13人，如果没有内镜检查，转诊的顾问医生会建议剖腹手术，而另外5例则接受了意外的剖腹手术。这些发现支持了对那些症状不能通过钡餐检查完全解释的患者进行内镜检查的做法，尤其是45岁以上的患者。在这种情况下，该检查似乎也具有成本效益。
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