Baccaro J C, González B
Acta Gastroenterol Latinoam. 1978 May;8(1):35-9.
The purpose of this presentation is to point out the importance of this new diagnosis and treatment method, recently incorporated. The studies were done with the Fibroscope F9-A with doble channel, equipped with an desection smear for polipectomies and an extracting forceps. The patients arrive with their intestine perfectly cleaned with classical methods. This detail is most important for the polipectomies. If the local conditions aren't the desired, presence of bowels or barium of an previous enema, we postpone both, examination and polipectomy, because those are causes of false diagnosis in the first case or eventual accidents in the second condition. Regarding this, we had an performing doing a biopsy in an stenosing neoplasm of the sigmoid colon. We believe it convenient to prevent this complication, to reduce the air pressure before performing the biopsy. Of the 160 patients examinated, 54 had no patology, 32 had polips and of this group 4 had multiple poliposis, 4 had association with diverticulosis and 3 associated with neoplasm. (4 were neoplasm, 10 stenosis without mucous lesions, 1 villous adenoma, 1 megacolon and 1 rectitis). We made 12 polipectomies, 10 with the conventional technique and 2 associated with surgery. We had no accidents and one of them was an early stage of colon cancer.
本次报告的目的是指出这种新纳入的诊断和治疗方法的重要性。研究使用的是双通道纤维结肠镜F9 - A，配备用于息肉切除术的切除涂片和提取钳。患者通过传统方法使肠道得到彻底清洁。这一细节对息肉切除术极为重要。如果局部条件不理想，存在肠道内容物或先前灌肠的钡剂，我们会推迟检查和息肉切除术，因为在第一种情况下这些会导致误诊，在第二种情况下会引发意外。关于此，我们在一例乙状结肠狭窄性肿瘤患者身上进行活检时，认为在活检前降低气压以预防这种并发症是很有必要的。在160名接受检查的患者中，54人无病变，32人有息肉，其中4人有多发性息肉病，4人伴有憩室病，3人伴有肿瘤（4例为肿瘤，10例为无黏膜病变的狭窄，1例为绒毛状腺瘤，1例为巨结肠，1例为直肠炎）。我们进行了12例息肉切除术，10例采用传统技术，2例与手术联合进行。我们没有发生意外情况，其中1例为早期结肠癌。
