Liebman W M
Am J Gastroenterol. 1977 Nov;68(5):452-5.
Fiberoptic colonoscopy was performed on 15 patients between the ages of 1 1/2 years and 16 years. Ten patients were hospitalized and five were outpatients. Of 12 with frank or microscopic blood in stools, fiberoptic colonoscopy revealed single polyps in six patients, ulcerative colitis in two and negative results in four with prior nondiagnostic radiographic studies, colonoscopy revealed ulcerative colitis in one, granulomatous colitis in one and negative findings in one. Polypectomy through the colonoscope was accomplished in all six patients with polyps. Perforation of the sigmoid colon during polypectomy with the snare loop was the single complication encountered. Lower intestinal endoscopy should be selectively considered for diagnosis and therapy of unexplained bleeding or recurrent lower abdominal pain in children in whom proctosigmoidoscopic laboratory and radiographic examinations do not achieve a diagnosis.
对15例年龄在1.5岁至16岁之间的患者进行了纤维结肠镜检查。10例患者住院，5例为门诊患者。在12例有肉眼或镜下便血的患者中，纤维结肠镜检查发现6例患者有单个息肉，2例为溃疡性结肠炎，4例之前影像学检查未明确诊断，结肠镜检查显示1例为溃疡性结肠炎，1例为肉芽肿性结肠炎，1例为阴性结果。所有6例有息肉的患者均通过结肠镜完成了息肉切除术。圈套器息肉切除术中乙状结肠穿孔是唯一遇到的并发症。对于直肠乙状结肠镜检查、实验室检查和影像学检查未能确诊的儿童不明原因出血或反复下腹痛，应选择性考虑进行低位肠道内镜检查以用于诊断和治疗。
