| 特集名 | 知っておくべき疾患 --食道 | |
|---|---|---|
| 題名 | 食道孤在性静脈拡張(食道孤立性静脈瘤) | |
| 発刊年月 | 1998年 04月 | |
| 著者 | 安部 孝 | 関東逓信病院健康管理科 |
| 著者 | 桜井 幸弘 | 関東逓信病院消化器科 |
| 【 要旨 】 | 食道孤立性静脈瘤は消化器内視鏡用語集では"孤存性静脈拡張"(solitary venous dilatation;以下，SVD)とされており，当院内視鏡センターの11年間，44,241例の上部消化管内視鏡のうち，SVDは559例で男性1.3%，女性1.2%．このうち記載不十分例を除外した321例を検討した． 局在は上・中部食道が76%で，下部は19%認められた．孤立性は73%，複数は27%．20mm以下が98%．大型例のうち33%が肝障害例に合併し，門脈圧亢進症との関係も示唆されたが確定はされなかった．形態は半球状が78%，芋虫状や紐状16%．SVDの大出血例はなく，内視鏡での圧迫や生検による破砕など医原性のもの以外は臨床上の問題は少なく，経過観察とされている． |
|
| Theme | Digestive Diseases to Know -- Esophagus | |
|---|---|---|
| Title | Solitary Venous Dilatation of the Esophagus | |
| Author | Takashi Abe | Health Care Center, Kantoh Teishin Hospital |
| Author | Yukihiro Sakurai | Dep.of Gastroenterology, Kantoh Teishin Hospital |
| [ Summary ] | A total of 559 cases(1.2%) of solitary venous dilatation (SVD) of the esophagus were detected at Kantoh Teishin hospital from January 1986 to June 1997. Of these cases, 238 were excluded, and 321 in whom the appearance as described exactly were included. In 79%, the SVD were found in the upper region of the esophagus. Solitary types accounted for 73%, small SVD(%<2cm) for 98%, large SVD for 33%. The latter were associated with liver disease. Furthermore, 78% of SVD were of the small, dome-shaped type. There were no cases of ruptured, massive bleeding from SVD. SVD are not associated with critical clinical problems and only follow-up is needed. | |