Frühmorgen P, Demling L
Endoscopy. 1979 May;11(2):146-50. doi: 10.1055/s-0028-1098341.
In April, 1978, we carried out a survey covering 27 hospitals, in which colonoscopy is performed on a routine basis. With respect to the size of the hospital, the equipment available and the level of training of the examiner, this selection may be regarded as representative. A total of 35,892 colonoscopies, 7,365 polypectomies, 58 electrocoagulations and 14 rugectomies were analysed with respect to the nature, localization and treatment of any complications that arose. The rate of complications seen in diagnostic colonoscopy was 0.008% for bleeding and 0.14% for perforation, the mortality rate being 0.02%. As expected, the complication rate for colonoscopic polypectomy was higher. Bleedings were reported in 2.24%, perforations in 0.34% and deaths in 0.1% of the examinations. Of particular importance would seem to be the possibilities of preventing complications. It was shown on the basis of the survey that a good, standardized training of the endoscopist, the strict observance of the contraindications, the non-use of analgesics and general anaesthesia, fluoroscopic control of "difficult" colons and the use of the best instruments and aids presently available, reduce the complication rate to a minimum.
1978年4月，我们对27家常规开展结肠镜检查的医院进行了一项调查。就医院规模、可用设备以及检查人员的培训水平而言，此次所选医院具有代表性。我们分析了总计35892例结肠镜检查、7365例息肉切除术、58例电凝术和14例黏膜切除术，了解出现的任何并发症的性质、部位及治疗情况。诊断性结肠镜检查中，出血并发症发生率为0.008%，穿孔并发症发生率为0.14%，死亡率为0.02%。正如预期的那样，结肠镜息肉切除术的并发症发生率更高。检查报告显示，出血发生率为2.24%，穿孔发生率为0.34%，死亡发生率为0.1%。预防并发症的可能性似乎尤为重要。调查结果表明，对内镜医师进行良好的标准化培训、严格遵守禁忌证、不使用镇痛药和全身麻醉、对“困难”结肠进行荧光透视控制以及使用目前可用的最佳器械和辅助设备，可将并发症发生率降至最低。
