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[胃息肉患者——结直肠肿瘤的风险群体?对106例患者的潜血研究]

[Patient with stomach polyps--a risk group for colorectal tumors? Haemoccult studies on 106 patients].

作者信息

Liebe S, Wohlgemuth B

出版信息

Z Gesamte Inn Med. 1981 Sep 15;36(18):682-4.

PMID:7314752
Abstract

106 patients in whom from 1 to 4 years ago a gastric polyp had been removed were examined for occult blood in the feces (haemoccult test). It should be tested whether in carries of gastric polypi increasingly appear colorectal tumors. Altogether 15 patients with colorectal tumours were found among the 106 carriers of gastric polypi. In 11 patients a removal of an adenoma from the colon was performed already before the haemoccult-examination. With the help of the haemoccult-examination 2 carcinomas of the colon and 2 carriers of adenomas were newly recognized as well as 2 recidivations of adenomas. Carriers of gastric polypi should be regarded as risk group for colorectal tumours. The dispensary care must be extended not only to the stomach but also include a careful anamnesis with regard to colorectal tumours and the search for occult blood in the feces.

摘要

对106例在1至4年前切除胃息肉的患者进行了粪便潜血检查(隐血试验)。应检测胃息肉携带者中是否越来越多地出现结直肠肿瘤。在106例胃息肉携带者中,共发现15例结直肠肿瘤患者。在11例患者中,在隐血检查之前就已经切除了结肠腺瘤。通过隐血检查,新发现了2例结肠癌和2例腺瘤携带者,以及2例腺瘤复发。胃息肉携带者应被视为结直肠肿瘤的风险群体。门诊护理不仅要扩展到胃部,还应包括对结直肠肿瘤进行仔细的病史询问以及检测粪便潜血。

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