Cronstedt J, Deurell S I, Vestergaard P
Acta Med Scand. 1977;202(4):265-9. doi: 10.1111/j.0954-6820.1977.tb16825.x.
The technique and results of 111 consecutive colonoscopies with a short colonoscope without the use of X-ray screening are reviewed. The caecum could be reached in 44 percent of the cases. No complications occurred. The great clinical value of the procedure is shown by the following findings:X-ray-negative lesions--including 2 cases of carcinoma--were found in 35 percent of the cases, radiologically demonstrated lesions could be defined more precisely in 18 percent, and the presence of colonic lesions could be ruled out in 11 percent in spite of equivocal X-ray findings. It is concluded that many more centres ought to take up the procedure, which offers the prospect of significantly reducing suffering and death from colonic disease.
回顾了111例连续使用短结肠镜且未进行X线筛查的结肠镜检查的技术及结果。44%的病例能够到达盲肠。未发生并发症。该检查方法的重大临床价值体现在以下发现：35%的病例发现了X线阴性病变，包括2例癌；18%的病例中放射学显示的病变能够得到更精确的界定；11%的病例尽管X线检查结果不明确，但可排除结肠病变的存在。得出的结论是，更多的中心应该采用该检查方法，它有望显著减少结肠疾病带来的痛苦和死亡。
