Liebman W M
Am J Gastroenterol. 1977 Oct;68(4):362-6.
Fiberoptic endoscopy of the upper gastrointestinal tract was performed on 53 patients without incident, ranging in age between two months and 18 years, of whom 35 were out patients at the time of examination. Of 27 patients with recurrent abdominal pain and normal upper gastrointestinal series, eight had abnormal findings at endoscopy: a duodenal ulcer in four, a gastric ulcer in two and duodenitis in two. Of 18 patients with hematemesis and/or melena, esophageal varices were demonstrated both by endoscopy and x-ray in two, gastric ulcer by endoscopy in three and x-ray in one, duodenal ulcer by endoscopy in three and by x-ray in two, esophagitis by endoscopy only in one patient, erosive gastritis by endoscopy in five and by x-ray in two and duodenitis by endoscopy in three and by x-ray in two. Of the remaining eight patients with abnormal x-rays findings and other symptomatology, endoscopy demonstrated foreign bodies in two (coins, esophagus and stomach), duodenitis in two, a gastric ulcer in one, a duodenal ulcer in one and normal examination in two. The data indicate that fiberoptic endoscopy significantly improves diagnostic accuracy in the evaluation of disorders of the upper gastrointestinal tract in children and is a safe and effective procedure in ambulatory pediatric patients.
对53例年龄在2个月至18岁之间的患者进行了上消化道纤维内镜检查，均未发生意外，其中35例在检查时为门诊患者。在27例复发性腹痛且上消化道造影正常的患者中，8例在内镜检查时有异常发现：4例十二指肠溃疡，2例胃溃疡，2例十二指肠炎症。在18例有呕血和/或黑便的患者中，2例经内镜和X线检查均显示食管静脉曲张，3例经内镜检查发现胃溃疡，1例经X线检查发现胃溃疡，3例经内镜检查发现十二指肠溃疡，2例经X线检查发现十二指肠溃疡，仅1例经内镜检查发现食管炎，5例经内镜检查发现糜烂性胃炎，2例经X线检查发现糜烂性胃炎，3例经内镜检查发现十二指肠炎症，2例经X线检查发现十二指肠炎症。在其余8例X线检查结果异常且有其他症状的患者中，内镜检查发现2例有异物（硬币，位于食管和胃），2例十二指肠炎症，1例胃溃疡，1例十二指肠溃疡，2例检查正常。数据表明，纤维内镜检查显著提高了儿童上消化道疾病评估的诊断准确性，并且是门诊儿科患者一种安全有效的检查方法。
