Levine M S
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
Gastroenterol Clin North Am. 1995 Jun;24(2):289-308.
The double-contrast upper GI series makes medical and economic sense as a cost-effective alternative to endoscopy for evaluating patients with dyspepsia or other upper GI symptoms who fail to respond to an empiric trial of medical therapy. These studies are capable of detecting most clinically significant disease in the upper GI tract. Furthermore, data indicate that double-contrast studies can achieve a high sensitivity in the diagnosis of malignant lesions without exposing an inordinate number of patients to unnecessary endoscopy. Thus, as we approach the twenty-first century, the upper GI series continues to be a valuable diagnostic test in modern medical practice.
对于消化不良或有其他上消化道症状且对经验性药物治疗无反应的患者，双重对比上消化道造影作为一种经济有效的替代内镜检查的方法，在医学和经济方面都具有合理性。这些检查能够检测出上消化道中大多数具有临床意义的疾病。此外，数据表明双重对比造影检查在诊断恶性病变时能够达到较高的灵敏度，同时不会让过多患者接受不必要的内镜检查。因此，在我们迈向21世纪之际，上消化道造影在现代医学实践中仍然是一项有价值的诊断检查。
