特集名 | Total colonoscopy -- 挿入理論とその応用 | |
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題名 | 挿入困難例とその克服方法 (5) その他 b. 超細径内視鏡による挿入困難例の克服 | |
発刊年月 | 2003年 09月 | |
著者 | 宇野 良治 | 東邦大学医学部消化器内科,高橋病院消化器科 |
【 要旨 】 | 要旨はありません。 |
Theme | Theory of insertion technique in total colonoscopy and its practical application | |
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Title | Ultra-thin colonoscope insertion method for difficult cases | |
Author | Yoshiharu Uno | Department of Gastroenterology, Toho University School of Medicine / Division of Gastroenterology, Takahashi Hospital |
[ Summary ] | Many patients wanting comfortable and complete pancolonoscopy visited the author's hospital because of their previous experiences with painful and/or incomplete colonoscopies in other institutions. Most difficulties with colonoscopy are related to defective fixation, which leads to abnormal positioning of the colonic segment, or to a relatively fixed colon, secondary to serosal adhesions from polysurgery in the abdomen. Total colonoscopy is achievable in such patients using an ultra-thin colonoscope (CF-SV), stiffening wire and a fluoroscope. Some cases reguire interventional rediology techniques during insertion of the colonoscope, such as catheter insertion techniques. |