McKelvey S T
Br J Surg. 1979 May;66(5):306-8. doi: 10.1002/bjs.1800660504.
The role of colonoscopy in the management of 100 cases of suspected large bowel tumour is described. Forty out of 47 patients with an equivocal barium enema examination were satisfactorily examined and the possibility of a tumour being present was either confirmed or refuted. Examination of 30 patients with otherwise unexplained blood loss from the bowel revealed the cause in 50 per cent of them. Twenty-nine patients had pedunculated polyps which were snared and removed, thus avoiding laparotomy and colotomy. The problem of distinguishing tumours from other lesions or retained faeces by radiology arises most often in the sigmoid colon. This segment is easily examined using a short flexible endoscope. General surgeons taking up colonoscopy will find a 1-m single-channel instrument convenient to use and capable of reaching approximately 90 per cent of colonic tumours that require further investigation or endoscopic resection. Facilities for the examination of the whole colon should be available in established endoscopy units.
本文描述了结肠镜检查在100例疑似大肠肿瘤管理中的作用。47例钡剂灌肠检查结果不明确的患者中，有40例接受了满意的检查，肿瘤存在的可能性得到了确认或排除。对30例原因不明的肠道出血患者进行检查，发现其中50%的病因。29例患者有带蒂息肉，通过圈套器摘除，从而避免了剖腹手术和结肠切开术。通过放射学区分肿瘤与其他病变或残留粪便的问题最常出现在乙状结肠。使用短的软性内窥镜很容易检查这一段。开展结肠镜检查的普通外科医生会发现，1米长的单通道器械使用方便，能够到达约90%需要进一步检查或内镜切除的结肠肿瘤部位。成熟的内镜检查单位应具备检查整个结肠的设施。
