Teague R H, Salmon P R, Read A E
Gut. 1973 Feb;14(2):139-42. doi: 10.1136/gut.14.2.139.
The results of fibreendoscopy of the colon are described in 255 consecutive examinations. Of the examinations, 26.5% resulted in a diagnosis being made solely by endoscopy. This included 17 cases of carcinoma, 15 patients with polyps, and 25 patients with inflammatory bowel disease. The most common reason for referral was undiagnosed rectal bleeding (75 cases) and endoscopy alone was successful in diagnosing the probable or definitive source of bleeding in 50% of the cases referred. It is not yet clear, however, to what extent this figure may reflect the inadequacy of conventional radiology.A definitive radiological diagnosis was refuted in 11 patients and an unnecessary laparotomy avoided in seven of these. There is no doubt that fibreoptic colonoscopy increases diagnostic accuracy in large bowel disease and is especially helpful in cases where radiology is either negative or equivocal.
连续255例结肠纤维内镜检查结果如下。其中，26.5%的检查仅通过内镜检查作出诊断。这包括17例癌、15例息肉患者以及25例炎症性肠病患者。转诊的最常见原因是未确诊的直肠出血（75例），仅内镜检查就成功诊断出了50%转诊病例中可能的或明确的出血来源。然而，目前尚不清楚这个数字在多大程度上可能反映了传统放射学检查的不足。11例患者的明确放射学诊断被推翻，其中7例避免了不必要的剖腹手术。毫无疑问，纤维结肠镜检查提高了大肠疾病的诊断准确性，在放射学检查结果为阴性或不明确的病例中尤其有用。
