Ostborg J, Skjølingstad R, Bakkevold K
Medisinsk avdeling, Fylkessjukehuset i Haugesund.
Tidsskr Nor Laegeforen. 1994 Feb 20;114(5):559-61.
In a prospective study 1,000 consecutive colonoscopies were registered in a specially designed database. Mean time spent on colonoscopy was 26.3 minutes. 419 colonoscopies were technically difficult. The desired level in the gut was reached in 747 examinations. There were two non-fatal complications. Both were haemorrhages following snare polypectomies. One third of the colonoscopies were control examinations. If we followed the commonly accepted policy for control of colitis and neoplasms, in a few years time, all our capacity would be used for routine examinations. A consensus for selection of patients for colonoscopy is needed. We found 107 of 230 double-contrast barium enema examinations to be false negative or false positive. This is a higher figure than obtained with colonoscopy.
在一项前瞻性研究中，1000例连续结肠镜检查被记录在一个专门设计的数据库中。结肠镜检查的平均用时为26.3分钟。419例结肠镜检查存在技术困难。747例检查达到了肠道内的理想深度。有两例非致命并发症，均为圈套器息肉切除术后出血。三分之一的结肠镜检查为复查。如果我们遵循普遍接受的结肠炎和肿瘤复查策略，再过几年，我们所有的能力都将用于常规检查。因此，需要就结肠镜检查患者的选择达成共识。我们发现，在230例双重对比钡剂灌肠检查中有107例假阴性或假阳性。这一数字高于结肠镜检查的假阴性或假阳性率。
