[Gastroscopy before cholecystectomy].

H Diettrich, B Wündrich, E Kobe, S Noack, K Weber
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Abstract

In a prospective study the routine endoscopy of the upper gastrointestinal tract was carried out in 100 patients before they underwent elective cholecystectomy for gallstones. In 31/100 patients we detected abnormalities which changed the plan of therapy. In 18/100 patients the cholecystectomy was performed 4 to 8 weeks later, after additional medical treatment. 7 patients were discharged from the cholecystectomy. The preoperative endoscopy of the upper gastrointestinal tract should be used in patients undergoing cholecystectomy to exclude other gastrointestinal disorders.

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[胆囊切除术前胃镜检查]。
在一项前瞻性研究中,对100例因胆结石而行选择性胆囊切除术的患者进行了常规上消化道内窥镜检查。在31/100的患者中,我们发现了改变治疗计划的异常。100例患者中有18例在4至8周后进行了胆囊切除术,并进行了额外的药物治疗。7例患者胆囊切除术后出院。胆囊切除术患者术前应行上消化道内镜检查,以排除其他胃肠道疾病。
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