| 特集名 | 大腸EMR，ESDの進歩 | |
|---|---|---|
| 題名 | 治療機器の工夫・改良 (1) double balloon endoscopyを用いたESD | |
| 発刊年月 | 2007年 11月 | |
| 著者 | 砂田 圭二郎 | 自治医科大学内科学講座消化器内科学部門 |
| 著者 | 宮田 知彦 | 自治医科大学内科学講座消化器内科学部門 |
| 著者 | 岩本 美智子 | 自治医科大学内科学講座消化器内科学部門 |
| 著者 | 矢野 智則 | 自治医科大学内科学講座消化器内科学部門 |
| 著者 | 新城 雅行 | 自治医科大学内科学講座消化器内科学部門 |
| 著者 | 林 芳和 | 自治医科大学内科学講座消化器内科学部門 |
| 著者 | 阿治部 弘成 | 自治医科大学内科学講座消化器内科学部門 |
| 著者 | 福島 寛美 | 自治医科大学内科学講座消化器内科学部門 |
| 著者 | 茂森 昌人 | 自治医科大学内科学講座消化器内科学部門 |
| 著者 | 岩下 裕一 | 自治医科大学内科学講座消化器内科学部門 |
| 著者 | 山本 博徳 | 自治医科大学内科学講座消化器内科学部門 |
| 【 要旨 】 | 要旨はありません。 | |
| Theme | Endoscopic treatment of early colorectal cancer and adenoma -- the advancement of EMR and ESD technique | |
|---|---|---|
| Title | Endoscopic submucosal dissection (ESD) using double balloon endoscopy (DBE-ESD) | |
| Author | Keijiro Sunada | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| Author | Tomohiko Miyata | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| Author | Michiko Iwamoto | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| Author | Tomonori Yano | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| Author | Masayuki Arashiro | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| Author | Yoshikazu Hayashi | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| Author | Hironari Ajibe | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| Author | Hiromi Fukushima | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| Author | Masato Shigemori | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| Author | Yuichi Iwashita | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| Author | Hironori Yamamoto | Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University |
| [ Summary ] | Double balloon endoscopy (DBE) was originally developed as a new technique for visualization of and intervention in the entire small intestine. It has been shown to be useful for difficult colon conditions as well. The principle of DBE is that by holding the intestinal wall with a balloon attached to the distal end of a soft overtube, the endoscope can be inserted further without intestinal extension. ESD for superficial colorectal lesions is thought to be difficult because very fine endoscopic control is needed to carry out the procedure without complications such as perforation. Using a conventional colonoscope, even an expert endoscopist may struggle to carry out ESD if the endoscope moves paradoxically. In order to facilitate this procedure, DBE was used for colorectal ESD (DBE-ESD). Using DBE, paradoxical movement is prevented even in the difficult situations within the colon. Techniques employed are described, along with a case presentation. |
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