Killer-Walser R, Hess H, Würsch T G, Stuby K, Sonnenberg A, Brühlmann W, Blum A L
Schweiz Med Wochenschr. 1979 Jan 6;109(1):3-6.
In 306 patients, fiberpanendoscopy and radiology were performed within a time interval of 7 days or less. In 196 cases, radiology was performed before endoscopy and in 110 cases after endoscopy. In cases with histologically unproven divergent findings, follow-up studies were performed. In the diagnosis of gastric ulcer and gastric cancer, endoscopy with biopsy was more accurate than radiology. In the diagnosis of hiatal hernia, radiology was more accurate. Important additional findings difficult or impossible to observe with endoscopy were present in 36% of the radiological examinations. Thus, the first examination should be endoscopy when ulcer or carcinoma is suspected. In patients with uncharacteristic epigastric symptoms, radiology should be performed first.
在306例患者中，纤维全内镜检查和放射学检查在7天或更短的时间间隔内进行。196例患者先进行放射学检查，后进行内镜检查；110例患者先进行内镜检查，后进行放射学检查。对于组织学检查未证实的分歧性结果，进行了随访研究。在胃溃疡和胃癌的诊断中，内镜活检比放射学检查更准确。在食管裂孔疝的诊断中，放射学检查更准确。36%的放射学检查发现了内镜检查难以或无法观察到的重要附加结果。因此，怀疑有溃疡或癌时，首次检查应进行内镜检查。对于有非特异性上腹部症状的患者，应首先进行放射学检查。
