Hintze R E, Binmoeller K F, Adler A, Veltzke W, Thonke F, Soehendra N
Department of Gastroenterology, Rudolf Virchow University Clinic, Free University of Berlin, Germany.
Endoscopy. 1994 Sep;26(7):613-6. doi: 10.1055/s-2007-1009049.
Problems in emergency endoscopy for upper gastrointestinal bleeding may arise due to blood and food debris preventing proper endoscopic vision and orientation. We present here a new big channel endoscope with a 6 mm suction and drainage channel that achieved complete evacuation of stomach contents in 122 of 123 patients with upper gastrointestinal bleeding, in whom complete gastric cleaning and identification of the bleeding source had proved impossible using standard endoscopes. Gastric emptying using the big-channel endoscope was possible within five minutes in all successful cases. Optimal conditions for therapeutic procedures were therefore provided. The size of the instrumentation channel may open up new indications also for non-emergency endoscopic diagnosis and treatment.
上消化道出血的急诊内镜检查可能会出现问题，因为血液和食物残渣会妨碍正确的内镜视野和定位。我们在此展示一种新型大通道内镜，其具有6毫米的吸引和引流通道，在123例上消化道出血患者中，有122例通过该内镜实现了胃内容物的完全排空，而使用标准内镜时，这些患者无法实现完全的胃清洁和出血源识别。在所有成功的病例中，使用大通道内镜在五分钟内即可实现胃排空。因此，为治疗程序提供了最佳条件。器械通道的尺寸也可能为非急诊内镜诊断和治疗开辟新的适应症。
