Rossini F P, Ferrari A, Mezzedimi R, Cirillo R, Degiorgis C
Endoscopy. 1979 Sep;11(3):207-11. doi: 10.1055/s-0028-1098354.
A more complete diagnostic information can be obtained by "carrying" the contrast medium through the fibercoloscope to those sites of the bowel where neither radiology alone nor endoscopy alone succeed in solving the diagnostic problem. The indications for a selective perendoscopic contrast study during coloscopy are few, but well defined and certainly not negligible:--demonstration and assessment of stenoses (unclarified by radiology and endoscopy);--accurate evaluation of the last ileal loop;--diagnostic study of ileo-colic surgical anastomoses;--fistulous tracts. Seventy-six patients were examined, without complications. The method proved useful in 42% of cases, conclusive in 33%, useless or inconclusive in 17%, unsuccessful in 8% (technical difficulties). On this basis, selective endoscopic contrastography is considered of use whenever its specific indications apply.
通过纤维结肠镜将造影剂“输送”到肠道的那些部位，在这些部位单独进行放射学检查或单独进行内镜检查都无法成功解决诊断问题，这样可以获得更完整的诊断信息。结肠镜检查期间进行选择性经内镜造影研究的指征很少，但定义明确且肯定不可忽视：——显示和评估狭窄（放射学和内镜检查未明确）；——准确评估末段回肠袢；——回结肠手术吻合口的诊断研究；——瘘管。对76例患者进行了检查，无并发症发生。该方法在42%的病例中被证明有用，在33%的病例中具有决定性作用，在17%的病例中无用或无结论，在8%的病例中未成功（技术困难）。在此基础上，只要其特定指征适用，选择性内镜造影就被认为是有用的。
