十二指肠球部的内镜检查：200例患者中前视和侧视纤维光学系统的临床评估

Salmon P R, Brown P, Htut T, Read A E

Gut. 1972 Mar;13(3):170-5. doi: 10.1136/gut.13.3.170.

Two-hundred fibreoptic examinations of the duodenal bulb were carried out on 149 patients. The importance of combining the initial examination with a general endoscopic survey of the oesophagus and stomach is stressed. At the present time full examination of the duodenal bulb requires the use of both a side-viewing and forward-viewing endoscope in more than a quarter of cases. The safety and acceptability to the patient of multiple endoscopic examinations carried out as an outpatient procedure has been demonstrated, and the value of the procedure in x-ray negative dyspepsia, in the follow up of ulcer therapy, and in acute upper gastrointestinal haemorrhage has been shown.

对149例患者进行了200次十二指肠球部纤维光学检查。强调了将初次检查与食管和胃的全面内镜检查相结合的重要性。目前，在超过四分之一的病例中，对十二指肠球部进行全面检查需要同时使用侧视和前视内镜。已证明作为门诊程序进行的多次内镜检查对患者的安全性和可接受性，并且该程序在X线阴性消化不良、溃疡治疗随访以及急性上消化道出血中的价值也已得到证实。