De Masi E, Bertolotti A, Fegiz G F
Ital J Surg Sci. 1984;14(3):195-9.
The results of fibercolonoscopy performed in 149 patients with clinical and or X-ray appearances of diverticular disease are reported. Examination could not be completed in 16 per cent of patients because of impassable strictures in the left colon. Concurrent lesions were diagnosed in 69 per cent, and carcinoma was found in 6 per cent. The respective role of endoscopy and radiology are compared in the diagnosis of polyps, strictures, and cancer, coexisting with diverticulosis. It is concluded that colonoscopy is always indicated in diverticulosis with symptoms because it often provides a precise differential diagnosis thus obviating useless operations. Surgery is essential when impassable strictures prevent colonoscopy because the underlying conditions always require surgical treatment.
报告了对149例有憩室病临床症状和/或X线表现患者进行纤维结肠镜检查的结果。16%的患者因左半结肠存在无法通过的狭窄而未能完成检查。69%的患者诊断出合并病变，6%的患者发现了癌。比较了内镜检查和放射学检查在诊断与憩室病并存的息肉、狭窄和癌症方面各自的作用。得出结论，有症状的憩室病患者始终需要进行结肠镜检查，因为它常常能提供精确的鉴别诊断，从而避免不必要的手术。当无法通过的狭窄妨碍结肠镜检查时，手术是必要的，因为潜在疾病总是需要手术治疗。
