Lang F J, Grosjean P, Monnier P
Service ORL, Centre Hospitalier Universitaire Vaudois, Lausanne.
Laryngorhinootologie. 1997 Nov;76(11):704-8. doi: 10.1055/s-2007-997511.
Most bronchoscopies and esophagoscopies are currently performed with flexible instruments by the respective specialist. Thus the field of bronchoesophagology is in danger of being fragmented; neither the pneumologist nor the gastroenterologist have the complete overview of the upper respiratory and digestive tract. This review shows that number of pathologic conditions in the ENT area and the mediastinum involve the upper respiratory as well as the digestive tract, and thus underscore the need for combined tracheobronchial and esophageal endoscopy. Mastering of rigid and flexible endoscopy is mandatory to be efficient in diagnostic and therapeutic broncho-esophagoscopy. The ENT specialist is in the best position to maintain an overview of this whole field. New developments in broncho-esophagoscopy are presented and discussed in terms of cost effectiveness.
目前,大多数支气管镜检查和食管镜检查是由相应的专科医生使用柔性器械进行的。因此,支气管食管病学领域有被分割的危险;胸科医生和胃肠病医生都无法对上呼吸道和消化道有全面的了解。这篇综述表明,耳鼻喉科区域和纵隔的许多病理状况涉及上呼吸道以及消化道,因此强调了联合气管支气管和食管内镜检查的必要性。要高效地进行诊断性和治疗性支气管食管镜检查,必须掌握硬质和柔性内镜技术。耳鼻喉科专家最有能力全面了解整个领域。本文从成本效益方面介绍并讨论了支气管食管镜检查的新进展。