Gonçalves E S, Tacla M
Arq Gastroenterol. 1984 Jul-Sep;21(3):104-12.
In this study 29 patients were carriers of diverticular disease of the colons (DDC) and 29 patients with irritable bowel syndrome (IBS). The patients were diagnosed by means of a directed anamnesis standardized by the radiologic study of the colons. The methodology included, radiologic study of the colons, endoscopic examination of the colon (colonoscopy with biopsy) and anatomic pathologic examination of the fragments obtained in the endoscopy. It was tried, by means of colonoscopy with biopsy and anatomic pathological examination, to demonstrate, classify and relate, in agreement with pre-established criterion, the degree of intensity of the inflammatory process in the colic mucosa. According to the results we may conclude that: 1) colonoscopy in the studied inflammatory diseases is important for diagnosis, evaluation of the inflammatory process, identification of associated illness and material obtention for the anatomic pathological examination; 2) there is always a chronic inflammatory process, in variable degrees, of the colic mucosa in DDC and in IBS; 3) colonoscopy with biopsy and the anatomic pathological examination are adequate to diagnose with precision the degree of intensity of the chronic inflammatory process of the colic mucosa and the presence of associated disease in DDC and in IBS.
在本研究中，29例患者为结肠憩室病（DDC）携带者，29例患者患有肠易激综合征（IBS）。通过经结肠放射学研究标准化的定向问诊对患者进行诊断。该方法包括结肠放射学研究、结肠内镜检查（结肠镜检查并活检）以及对内镜检查获取的组织碎片进行解剖病理学检查。通过结肠镜检查并活检以及解剖病理学检查，试图根据预先设定的标准，对结肠黏膜炎症过程的强度程度进行论证、分类和关联。根据结果我们可以得出以下结论：1）在所研究的炎症性疾病中，结肠镜检查对于诊断、炎症过程评估、相关疾病识别以及获取用于解剖病理学检查的材料具有重要意义；2）DDC和IBS患者的结肠黏膜始终存在不同程度的慢性炎症过程；3）结肠镜检查并活检以及解剖病理学检查足以准确诊断DDC和IBS患者结肠黏膜慢性炎症过程的强度程度以及相关疾病的存在情况。
