INTESTINE Vol.10 No.3(6-1)


特集名 拡大内視鏡による質的診断の進歩 -- VI型pitから血管構造・Endo-Cystoscopy・IBDまで
題名 炎症性腸疾患の拡大内視鏡診断 (1) 表面構造
発刊年月 2006年 05月
著者 國弘 真己 中国電力 (株) 中電病院内科
著者 田中 信治 広島大学病院光学医療診療部
著者 上野 義隆 広島大学病院光学医療診療部
著者 島本 大 広島大学大学院分子病態制御内科学
著者 吉岡 京子 広島大学大学院分子病態制御内科学
著者 畠山 剛 広島大学大学院分子病態制御内科学
著者 岡 志郎 広島大学病院光学医療診療部
著者 茶山 一彰 広島大学大学院分子病態制御内科学
【 要旨 】 要旨はありません。
Theme Development of diagnosis of magnifying endoscopy
Title Magnifying colonoscopic observation for patients with ulcerative colitis
Author Masaki Kunihiro Department of Internal Medicine, the Chugoku Electric Power Co., Inc. Chuden Hospital
Author Shinji Tanaka Department of Endoscopy, Hiroshima University Hospital
Author Yoshitaka Ueno Department of Endoscopy, Hiroshima University Hospital
Author Masaru Shimamoto Department of Medicine and Molecular Science, Graduate School of Biomedical Sciences, Hiroshima University
Author Kyoko Yoshioka Department of Medicine and Molecular Science, Graduate School of Biomedical Sciences, Hiroshima University
Author Tsuyoshi Hatakeyama Department of Medicine and Molecular Science, Graduate School of Biomedical Sciences, Hiroshima University
Author Shiro Oka Department of Endoscopy, Hiroshima University Hospital
Author Kazuaki Chayama Department of Medicine and Molecular Science, Graduate School of Biomedical Sciences, Hiroshima University
[ Summary ] Colonoscopy plays an important role in the diagnosis of ulcerative colitis and the determination of disease activity. Standard colonoscopic findings, however, do not often agree with histologic findings. It was difficult to distinguish the remission stage from the active stage with standard colonoscopy in cases of Matts Grade 2 disease. However, the magnifying colonoscopes reflected histologic inflammation statas more accurately than did standard colonoscopic findings. Magnifying colonoscopy is useful for determining the degree of histologic change and for the prediction of periods of remission without biopsy in patients with ulcerative colitis.
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