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食管胃十二指肠内窥镜检查(esophagogastro-duodenoscopy,EGD)是辨别上胃肠道粘膜病变最准确的一种方法。作者过去对所有阻塞性黄疸病人均作EGD,可证实食管、胃和十二指肠同时存在的病变,并鉴定胆道梗阻的部位和性质。本文对阻塞性黄疸患者常规应用 EGD 进行了回顾性研究。6年期间,选择肝外阻塞性黄疸48例,用胃镜管末端观察的 EGD,作为手术前诊断法。比较每例的内窥镜及手术所见,以评定 EGD 作为诊断和术前治疗计划的价值。男35、女13例,平均年龄61(28～87)
Esophagogastro-duodenoscopy (EGD) is the most accurate method of identifying upper gastrointestinal mucosal lesions. The authors used EGD in all patients with obstructive jaundice in the past to confirm the presence of both esophagus, stomach, and duodenum, and to identify the location and nature of biliary obstruction. This article reviews retrospectively the routine use of EGD in patients with obstructive jaundice. During the 6-year period, 48 cases of extrahepatic obstructive jaundice were selected and EGD was observed at the end of the gastroscope as a preoperative diagnostic method. Compare the endoscopic and surgical findings of each case to assess the value of EGD as a diagnostic and preoperative treatment plan. 35 males and 13 females, average age 61 (28-87)