Phillip J, Frühmorgen P
Monatsschr Kinderheilkd (1902). 1979 Sep;127(9):574-6.
Colonoscopy, as an established endoscopic procedure in adults, is thought to be of great value in children and juveniles as well. The main indications for its use are intestinal hemorrhage, polypectomy, diarrhoea of uncertain origin, uncertain x-ray findings as well as the confirmation of a diagnosis made by biopsy. The choice of instruments used, preparations prior to the examination and premedication are dependent upon the child's age. 32 children, aged between 1--14 years, and 41 juveniles between 15 and 18 years were examined. Most common diagnoses were Crohn's disease (29), polyps (7) and ulcerative colitis (4). Others were unspecific colitis (3), follicular hyperplasia of the terminal ileum (2), lymphangiectasia (2), one hemangioma and one rectal ulcer. In 24 patients endoscopy revealed nothing pathological within the colon. Examinations should be performed only by skilled endoscopists with special experience of the problems of colonoscopy in children.
结肠镜检查作为成人中一种既定的内镜检查方法，在儿童和青少年中也被认为具有重要价值。其主要应用指征包括肠道出血、息肉切除、不明原因的腹泻、不明的X线检查结果以及活检确诊。所使用器械的选择、检查前的准备工作以及术前用药取决于儿童的年龄。对32名年龄在1至14岁的儿童和41名年龄在15至18岁的青少年进行了检查。最常见的诊断结果为克罗恩病（29例）、息肉（7例）和溃疡性结肠炎（4例）。其他诊断包括非特异性结肠炎（3例）、回肠末端滤泡增生（2例）、淋巴管扩张（2例）、1例血管瘤和1例直肠溃疡。在24例患者中，内镜检查显示结肠内无病理改变。检查应由对儿童结肠镜检查问题有特殊经验的熟练内镜医师进行。
