肝膽腸胃科大腸鏡與胃鏡報告解析-肝膽腸胃科

你好，請問可否幫我解釋以下大腸鏡跟胃鏡的報？

---

你好，請問可否幫我解釋以下大腸鏡跟胃鏡的報告，感謝醫生

(開刀房鏡檢)大腸纖維鏡檢查 Colonoscopy 切片檢查 V INDICATION:Self—paid health examination CLINICAL INFORMATION: 檢查前用藥 (Premedication): 止痙攣藥物：有, Hyoscine butylbromide 止痛鎮靜藥物：有, Propofol 清腸用藥 (Colon cleansing agent) , Phosphosoda類, Dulcolax PREMEDICATION: IVG with propofol+Buscopan 20mg (Split dose) ANTIPLATELET／COAGULANT: Nil COLON CLEANSING STAGE: Good Large volume of clear liquid covering 5% to 25% of the surface but greater than 90% of surface seen. DIGITAL EXAMINATION: Abnormal DRE revealed external hemorrhoid, mild. ENDOSCOPIC FINDINGS: The scope was inserted into Cecum(90cm AAV). The lesion was noted and managed as follows: [S1]The scope was advanced to 5 cm above ileocecal valve at terminal ileum. There were small mucosal nodules up to 0.2 to 0.3 cm in size here. Biopsy was taken and sent for pathology. [C1]Type 0—IIa ＆ NICE 1 polyp x 8, 0.2 — 0.3 cm in size, were noted at rectum (5 — 10cm AAV), s／p biopsy and removal There is mild external hemorrhoid. COMPLICATION: Nil DIAGNOSIS: — Colon polyps s／p excisional biopsy — Terminal ileum mucosal nodules s／p biopsy — External hemorrhoid, mild NOTE: ——————Procedure Note—————— TII(+), Rev(+) ——————————————————————————

胃鏡
(開刀房鏡檢)上消化道汎內視鏡檢查 Upper GI panendosco Clinical diagnosis: Previous Barett’s Endoscope: Olympus CLV290 + Olympus 260 Pre — medication: IVG with propofol+Buscopan 20mg Esophagus: The scope was advanced to EC junction and revealed irregular Z—line with short segment of mucosa break about 2—3 mm in length at this level. There was salmon—red hyperemic mucosal change, with circumferential involvement at Rugae end level, while the maximal extent was at 4 cm proximal to rugae end. Biopsy was taken and sent for pathology at hyperemic muocsa. ”E” Stomach: The antrum mucosa was hyperemic with irregular patches at antrum area. Biopsy was taken and sent for pathology ”G”. Duodenum: Negative till the 2nd portion of duodenum. Diagnosis: — Endoscopically suspected Barett’s esophagus, C0M4 s／p biopsy ”E” — Reflux esophagitis, LA grade A — Susp intestinal metaplasia of antrum s／p biopsy ”G” — Superficial gastritis

---

james，40~49歲男性，詢問日期：2026/01/09