Fibreoptic examination of the colon: a review of 255 cases

• Published in: Gut Vol. 14; no. 2; pp. 139 - 142
• Main Authors: Teague, R. H., Salmon, P. R., Read, A. E.
• Format: Journal Article Book Review
• Language: English
• Published: England BMJ Publishing Group Ltd and British Society of Gastroenterology 01-02-1973; BMJ Publishing Group LTD
• Subjects: Colitis - diagnosis; Colonic Diseases - diagnosis; Colonic Diseases - diagnostic imaging; Colonic Neoplasms - diagnosis; Colonic Neoplasms - diagnostic imaging; Crohn Disease - diagnosis; Endoscopy; Fiber Optic Technology; Gastrointestinal Hemorrhage - etiology; Humans; Intestinal Obstruction - diagnosis; Polyps - diagnosis; Radiography
• ISSN: 0017-5749; 1468-3288; 1458-3288
• DOI: 10.1136/gut.14.2.139

The results of fibreendoscopy of the colon are described in 255 consecutive examinations. Of the examinations, 26·5% resulted in a diagnosis being made solely by endoscopy. This included 17 cases of carcinoma, 15 patients with polyps, and 25 patients with inflammatory bowel disease. The most common reason for referral was undiagnosed rectal bleeding (75 cases) and endoscopy alone was successful in diagnosing the probable or definitive source of bleeding in 50% of the cases referred. It is not yet clear, however, to what extent this figure may reflect the inadequacy of conventional radiology. A definitive radiological diagnosis was refuted in 11 patients and an unnecessary laparotomy avoided in seven of these. There is no doubt that fibreoptic colonoscopy increases diagnostic accuracy in large bowel disease and is especially helpful in cases where radiology is either negative or equivocal.