Record C O, Bramble M G, Lishman A H, Sandle G I
Br Med J (Clin Res Ed). 1981 Nov 14;283(6302):1291-2. doi: 10.1136/bmj.283.6302.1291.
One hundred and fifteen patients attending a gastroenterology clinic were investigated by flexible sigmoidoscopy as outpatients. There were asked to fast before the examination and give a high-volume enema and sedated before the examination. A standard long colonoscope was used rather than the 60-cm sigmoidoscope, which limits the distance that can be examined and forces the operator to work very close to the patient. Preparation was considered good in 95 patients and 49 were examined as far as the hepatic flexure or beyond. Sixty-one patients were found to have lesions of the colon, 25 of them ulcerative colitis, 16 a poly, and nine carcinoma. Despite the fact that these patients were selected (some of them had already had ulcerative colitis diagnosed), flexible sigmoidoscopy proved to be a valuable initial outpatient investigation. The proximal colon was well visualised in 46 patients and a subsequent barium enema was considered unnecessary. There were no complications and the procedure seemed to be well tolerated.
115名到胃肠病诊所就诊的患者作为门诊病人接受了乙状结肠镜检查。他们被要求在检查前禁食，并进行大剂量灌肠，且在检查前接受镇静。使用的是标准的长结肠镜而非60厘米的乙状结肠镜，后者限制了可检查的距离，迫使操作者在离患者很近的距离操作。95名患者的准备工作被认为良好，49名患者的检查深度达到肝曲或更远。61名患者被发现有结肠病变，其中25例为溃疡性结肠炎，16例为息肉，9例为癌。尽管这些患者是经过挑选的（其中一些已经被诊断为溃疡性结肠炎），但乙状结肠镜检查被证明是一项有价值的初步门诊检查。46名患者的近端结肠观察良好，随后的钡灌肠被认为没有必要。没有出现并发症，该检查似乎耐受性良好。
