胃镜代替肠镜技术在小儿结肠镜检查中的应用

目的：探讨用胃镜代替结肠镜的方法对小儿进行结肠镜检的效果。方法：对需进行结肠镜检的小儿患者，采用随机对照的方法进行分组，分别采用成人型胃镜和成人型肠镜进行全结肠检查。结果：两种方法插镜进入回盲部的成功率没有差别(P>0.05), 但到达回盲部的平均时间有差别(P<0.05), 胃镜检查并发症的发生率更低(P<0.01)。结论：成人型胃镜代替成人型肠镜进行小儿结肠镜检查安全可靠，具有一定优势, 有进一步研究和应用的价值。

An adult gastroscope instead of an adult colonoscope for colon examination in children

OBJECTIVE: In some hospitals an adult colonoscope is used for colon examination in children because they do not have child colonscope equipment. This has some disadvantages and this paper reports the experience for colon examination in children with an adult gastroscope instead of an adult colonoscope. METHODS: One hundred and three children aged from 1.3 to 14 years who required routine colon examination were randomly assigned to adult gastroscope (n=49) and adult colonoscope groups (n=54). RESULTS: There were no significant differences in the success rate of implantation into the ileocecum between the gastroscope and colonoscope groups (93.9% vs 94.4%; P>0.05). The average time of implantation into the ileocecum in the gastroscope group was shorter than that of the colonoscope group (5.2+/-1.1 min vs 7.3+/-2.9 min; P<0.05). Seventeen patients showed implantation-related complications in the colonoscope group but only 5 patients in the gastroscope group (P<0.01). CONCLUSIONS: An adult gastroscope appears to be safer and more feasible than an adult colonoscope for colon examination in children.