Waldmann D, Fiedler L, Lindenmaier H
Zentralbl Chir. 1977;102(14):844-50.
Gastrointestinal endoscopy with flexible glass fiber instruments is of increasing importance in surgery. Preoperative endoscopic examinations bring good progress in planning the operative procedure, especially concerning proximal selective vagotomy, pancreas surgery and reoperations on the large intestine. By applying postoperative endosocopic controls mucosal alterations can earlier be detected in the area concerned than by radiological methods; this has to be emphasized especially in view of patients operated upon for cancer. Emergency endoscopy in massive gastrointestinal bleeding is one of the outstanding tasks. Under certain circumstances risky abdominal operations can be avoided by therapeutic endoscopy.
使用可弯曲玻璃纤维器械的胃肠内镜检查在外科手术中日益重要。术前内镜检查在手术方案规划方面取得了良好进展,尤其是在近端选择性迷走神经切断术、胰腺手术和大肠再次手术方面。通过术后内镜检查,可以比放射学方法更早地发现相关区域的黏膜改变;鉴于癌症手术患者的情况,这一点尤其需要强调。大量胃肠道出血时的急诊内镜检查是一项突出任务。在某些情况下,治疗性内镜检查可以避免进行有风险的腹部手术。