INTESTINE Vol.17 No.6(2-1-4)


特集名 カプセル・バルーン内視鏡の新展開
題名 バルーン内視鏡編 (1) バルーン内視鏡を使用した治療内視鏡 d.止血術
発刊年月 2013年 12月
著者 永山 学 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 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 】 消化管出血のうち,EGDとCSを行っても出血源を同定できないものを原因不明消化管出血(OGIB)と呼び,顕在性(overt)OGIBと潜在性(occult)OGIBに分類される.overt OGIBでは小腸血管性病変が多く,出血源の検索に難渋する場合が多い.本稿では初期評価をdynamic CTとするOGIBの診断・治療アルゴリズムとバルーン内視鏡(おもにDBE)の手技・工夫を中心に解説を行った.
Theme New developments in capsule/balloon-assisted endoscopy
Title Usefulness of balloon-assisted endoscopy for the diagnosis and management of small intestinal bleeding
Author Manabu Nagayama Division of Gastroenterology, Department of Medicine, Jichi Medical University
Author Tomonori Yano Division of Gastroenterology, Department of Medicine, Jichi Medical University
Author Hironori Yamamoto Division of Gastroenterology, Department of Medicine, Jichi Medical University
[ Summary ] Obscure GI bleeding (OGIB) is defined as bleeding from GI tract which persists or recurs without an obvious etiology after esophagogastroduodenoscopy and colonoscopy. OGIB could be categorized into the classifications of overt or occult OGIB based on the presence or absence of clinically evident bleeding. Vascular lesions in the small intestine are the most frequent etiology of OGIB. It is often difficult to detect these lesions.
In this review, we propose an algorithm for the diagnosis and management of OGIB and explain proper methods to perform balloon-assisted endoscopy, especially double-balloon endoscopy.
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