Ho K T
Ann Acad Med Singap. 1981 Apr;10(2):157-64.
In a period of twenty-two months, 300 patients were subjected to colonoscopic examinations. The proximal colon could be intubated in more than 90% of patients, when there was no distal obstruction or contraindications. Colonoscopy provided a more accurate diagnosis of colorectal diseases when correlated with barium enema examinations, and several unnecessary operations were thus avoided. However both procedures should be regarded as complementary rather than competitive. Colonoscopic polypectomy has revolutionised the management of colonic polyps, which are precursors to most colonic carcinomas. It has greatly reduced the need for laparotomy and surgical polypectomy. The morbidity, mortality, length of hospitalization and cost are significantly lower with colonoscopic polypectomy when compared with surgical polypectomy. In the present series, 45 colonic polyps were removed from 32 patients without any complications. The increased use of colonoscopic polypectomy may reduce the death rate from colonic carcinoma.
在22个月的时间里，300名患者接受了结肠镜检查。当没有远端梗阻或禁忌证时，超过90%的患者近端结肠能够插入结肠镜。与钡剂灌肠检查相比，结肠镜检查能更准确地诊断结直肠疾病，从而避免了一些不必要的手术。然而，这两种检查方法应被视为互补而非相互竞争。结肠镜息肉切除术彻底改变了结肠息肉的治疗方式，而结肠息肉是大多数结肠癌的前身。它极大地减少了剖腹手术和手术切除息肉的需求。与手术切除息肉相比，结肠镜息肉切除术的发病率、死亡率、住院时间和费用显著降低。在本系列研究中，32例患者的45个结肠息肉被切除，无任何并发症。结肠镜息肉切除术使用的增加可能会降低结肠癌的死亡率。
