Summary
Fiberoptic colonoscopy is 25 years old this year. Improvement in instruments led rapidly to wide acceptance of colonoscopy in diagnosis and therapy of colorectal diseases. The diagnosis of benign and malignant neoplasms was revolutionized by colonoscopy. The differential diagnosis of inflammatory bowel disease, assessment of its extent and severity, response to treatment, and potential for development of cancer are all made easier by colonoscopy. Colonoscopy has improved the diagnosis of diverticular disease, rectal bleeding, identification of ischemia, and other problems. Therapeutic colonoscopy has radically changed the management of colonic polyps, and colonoscopic polypectomy is now the standard form of treatment for most of these lesions. Treatment of bleeding lesions, decompression of obstruction, and removal of foreign bodies are other examples of therapeutic colonoscopic procedures.
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Arigbu AO, Badejo OA, Akinola DO (1985) Colonoscopy in the emergency treatment of colonic volvulus in Nigeria. Dis Colon Rectum 28: 765–769
Bedogni G, Ricci E, Pedrazzoli C, Conigliaro R, Barbieri I, Bertoni G, Contini S, Serafini G (1987) Endoscopic dilation of anastomotic colonic stenosis by different techniques: an alternative to surgery. Gastrointest Endosc 33: 21–24
Brunetaud JM, Maunoury V, Ducrotte P, Cochelard D, Cartot A, Paris JC (1987) Palliative treatment of rectosigmoid carcinoma by laser endoscopic photoablation. Gastroenterology 92: 663–668
Colacchio TA, Forde KA, Patsos JJ, Nunez D (1982) Impact of modern diagnostic methods on the management of active rectal bleeding. Ten year experience. Am J Surg 143: 607–610
Cranley JP, Petras RE, Carey WD, Paradis K, Sivak MV (1986) When is endoscopic polypectomy adequate therapy for colonic polyps containing invasive carcinoma? Gastroenterology 91: 419–427
Fleischer D (1987) Therapy for gastrointestinal bleeding. In: Waye JD, Geenen JE, Fleischer D, Venu RP (eds) Techniques in therapeutic endoscopy. Saunders, Philadelphia, pp 1.2–1.21
Geerdsen J, Pedersen M, Kjaergard H, Nordkild P, Andersen J (1986) Radiation dose in investigations of the large bowel. Comparison of radiation doses in examinations of the colon with double-contrast barium enema with the Welin modification and colonoscopy. Scand J Gastroenterol 21: 556–558
Gianfrancisco JA, Abcarian H (1982) Pitfalls in the treatment of massive lower gastrointestinal bleeding with “blind” subtotal colectomy. Dis Colon Rectum 25: 441–445
Gilbert DA, Shaneyfelt SL, Silverstein FE, et al (1984) The National ASGE Colonoscopy Survey — analysis of colonoscopic practices and yield. Gastrointest Endosc 30: 143–147
Haubrich WS (1987) History of endoscopy. In: Sivak MV Jr (ed) Gastroenterologic endoscopy. Saunders, Philadelphia, pp 2–19
Jensen D, Bown S (1983) Gastrointestinal angiomata: diagnosis and treatment with laser therapy and other endoscopic modalities. In: Fleischer D, Jensen D, Bright-Asare P (eds) Therapeutic laser endoscopy in gastrointestinal disease. Nijhoff, Boston Dordrecht, pp 151–160
Jensen DM, Machicado GA, Tapia JI (1983) Emergent colonoscopy in patients with severe hematochezia. Gastrointest Endosc 29: 177 (abstr)
Lelcuk S, Ratan J, Klausner JM, Skornick Y, Merhav A, Rozin RR (1986) Endoscopic decompression of acute colonic obstruction: avoiding staged surgery. Ann Surg 203: 292–294
Mathus-Vliegen EMH, Tytgat GNJ (1986) Laser ablation and palliation in colorectal malignancy: results of a multicenter inquiry. Gastrointest Endosc 32: 393–396
Neufeld DM, Shemesh E, Kodner IJ, Shatz BA (1987) Endoscopic management of anastomotic colon strictures with electrocautery and balloon dilation. Gastrointest Endosc 33: 24–26
Pera A, Caldera D, Ponti V (1987) Colonoscopy in inflammatory bowel diseases. Diagnostic accuracy and proposal of an endoscopic score. Gastroenterology 92: 181–185
Rankin GB (1987) Indications, contraindications, and complications of colonoscopy. In: Sivak MV Jr (ed) Gastroenterologic endoscopy. Saunders, Philadelphia, pp 868–880
Richter JM, Hedberg SE, Athanosoulis CA, Shapiro RH (1984) Angiodysplasia: clinical presentation and colonoscopic diagnosis. Dig Dis Sci 29: 481–485
Ross K, Nano D, Prindiville T, Pauly M, Chow H, Trudeau WV (1987) Colonoscopic therapy of acute pseudoobstruction of the colon. Am J Gastroenterol 82: 145–148
Schrock TR (1985) Colonoscopic polypectomy. In: Dent TL, Strodel WE, Turcotte JG, Harper ML (eds) Surgical endoscopy. Year Book Medical Publishers, Chicago, pp 233–252
Scowcroft CW, Sanowski RA, Kozarek RA (1981) Colonoscopy in ischemic colitis. Gastrointest Endosc 27: 156–161
Stryker SJ, Wolff BG, Culp CE, Libbe SD, Ilstrup DM, MacCarty RL (1987) Natural history of untreated colonic polyps. Gastroenterology 93: 1009–1013
Tedesco FJ (1987) Special problems in chronic ulcerative colitis. In: Sivak MV Jr (ed) Gastroenterologic endoscopy. Saunders, Philadelphia, pp 900–906
Weber CA, Deveney KE, Pellegrini CA, Way LW (1986) Routine colonoscopy in the management of colorectal carcinoma. Am J Surg 87: 90–92
Williams CB (1985) The use of hot biopsy. Endosc Rev 2: 12–17
Williams CB, Macrae FA, Bartram CI (1982) A prospective study of diagnostic methods in adenoma follow-up. Endoscopy 14: 74–78
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Schrock, T.R. Conceptual developments through colonoscopy. Surg Endosc 2, 240–244 (1988). https://doi.org/10.1007/BF00705330
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DOI: https://doi.org/10.1007/BF00705330