Comparison of colonoscopy and the contrast enema in five hundred patients with colorectal disease

作者: William I. Wolff , Hiromi Shinya , Abraham Geffen , S. Ozoktay , Roy DeBeer

DOI: 10.1016/0002-9610(75)90295-0

关键词:

摘要: Endoscopic examination of the entire colon (colonoscopy) is an important new method diagnosis and treatment diseases rectum, particularly cancer. The records 500 patients who had one or more contrast enemas subsequent colonoscopy were analyzed in attempt to evaluate competitive complementary features two methods. endoscopists advantage having a radiologic report radiographs available them. In general, when level abnormality could be reached, higher degree accuracy, since observation combined with biopsy. This was true case polyps which confirmed 166 radiologically described growths plus additional 118 lesion, twenty-one over 1 cm diameter. By endoscopic excision these via colonoscope, malignant changes can identified, conclusion rarely reached by radiographic means alone. With respect cancer, exclusive polyps, only twenty-four thirty-two cases diagnosed x-ray study Another nine, interpreted aa demonstrating malignancy from radiographs, cancer excluded subjected confirmation. Colonoscopy has also proved valuable identifying lesions cecum, notoriously problem for radiologist, milder degrees inflammatory change are undetectable means. enema best reported as completmentary rather than approaches, their use, diagnostic accuracy greatly enhanced.

参考文章(15)
WILLIAM I. WOLFF, HIROMI SHINYA, A new approach to colonic polyps. Annals of Surgery. ,vol. 178, pp. 367- 378 ,(1973) , 10.1097/00000658-197309000-00017
Barton McSwain, Robert N. Sadler, F. Beachley Main, Carcinoma of the Colon Rectum and Anus. Annals of Surgery. ,vol. 171, pp. 811- 818 ,(1962) , 10.1097/00000658-196205000-00017
Oliver H. Beahrs, Peter M. Sanfelippo, Factors in prognosis of colon and rectal cancer Cancer. ,vol. 28, pp. 213- 218 ,(1971) , 10.1002/1097-0142(197107)28:1<213::AID-CNCR2820280142>3.0.CO;2-I
Edgar L. Crumpacker, Proctosigmoidoscopy in Periodic Health Examinations JAMA. ,vol. 178, pp. 1033- 1035 ,(1961) , 10.1001/JAMA.1961.73040490023015A
John P. Welch, Gordon A. Donaldson, Recent experience in the management of cancer of the colon and rectum American Journal of Surgery. ,vol. 127, pp. 258- 266 ,(1974) , 10.1016/0002-9610(74)90028-2
William I. Wolff, Hiromi Shinya, Modern endoscopy of the alimentary tract. Current Problems in Surgery. ,vol. 11, pp. 1- 62 ,(1974) , 10.1016/S0011-3840(74)80005-5