Weber V, Jung D
Med Klin. 1978 Jan 27;73(4):138-40.
A symptomatic hernia (most inguinal or femoral hernia, seldom epigastric, umbilical or post-operative hernia)--appeared a little while ago--originates from a preexisting, so far unknown or long since known illness. All patients with a hernia--especially those over 40 years old--are to be carefully asked for preexisting illnesses. Barium-enema and rectoscopy are not indicated at each inguinal or femoral hernia as a screening-method to exclude a symptomatic hernia; however, both methods must be employed in suspicious cases. 320 Patients with a histologically verified carcinoma of the rectum and colon had no inguinal or femoral hernia. From 387 patients with an inguinal or femoral hernia 318 patients were over 40 years old; at these patients polyps were found in five cases by rectoscopy, but never by barium-enema, and two carcinoma of the colon transverse appeared by barium-enema. A 23-years old patient with a great intraabdominal malignant tumor must be added to the sum total.
有症状的疝（多数为腹股沟疝或股疝，很少为上腹疝、脐疝或术后疝）——不久前出现——源自先前存在的、迄今未知或早已知晓的疾病。所有患有疝的患者——尤其是40岁以上者——均应仔细询问其先前存在的疾病。对于每一例腹股沟疝或股疝，钡灌肠和直肠镜检查不作为排除有症状疝的筛查方法；然而，在可疑病例中必须采用这两种方法。320例经组织学证实的直肠癌和结肠癌患者无腹股沟疝或股疝。在387例腹股沟疝或股疝患者中，318例年龄超过40岁；在这些患者中，直肠镜检查发现5例有息肉，钡灌肠未发现，钡灌肠发现2例横结肠癌。总计还必须加上一名患有巨大腹腔内恶性肿瘤的23岁患者。
