Barnes R J, Gear M W, Nicol A, Dew A B
Br Med J. 1974 Oct 26;4(5938):214-6. doi: 10.1136/bmj.4.5938.214.
Fifty consecutive patients presenting in a general practice with dyspepsia were studied. Each patient was referred for a combined barium-meal examination and cholecystogram, followed by fibreoptic endoscopy of the oesophagus, stomach, and duodenum. Thirty patients had a specific lesion of the upper digestive tract and a further four had gall-bladder disease; of these, 16 required surgical treatment. Endoscopy in the remaining 16 patients showed nine with mucosal abnormalities, leaving only seven patients to be classified as normal.The advantage of having an endoscopy service to supplement radiological investigation of dyspepsia is shown.
对连续50例因消化不良前来全科诊所就诊的患者进行了研究。每位患者都接受了钡餐造影和胆囊造影联合检查,随后进行了食管、胃和十二指肠的纤维内镜检查。30例患者有上消化道特异性病变,另有4例患有胆囊疾病;其中16例需要手术治疗。其余16例患者的内镜检查显示9例有黏膜异常,只有7例患者被归类为正常。这表明了拥有内镜检查服务以补充消化不良放射学检查的优势。