| 特集名 | 小腸内視鏡のupdate | |
|---|---|---|
| 題名 | ダブルバルーン内視鏡による診断 (2) 腫瘍性疾患 | |
| 発刊年月 | 2007年 03月 | |
| 著者 | 三上 達也 | 弘前大学医学部第一内科 |
| 著者 | 福田 真作 | 弘前大学医学部第一内科 |
| 著者 | 花畑 憲洋 | 弘前大学医学部第一内科 |
| 著者 | 辻 剛俊 | 弘前大学医学部第一内科 |
| 著者 | 西谷 大輔 | 弘前大学医学部第一内科 |
| 著者 | 吉村 徹郎 | 弘前大学医学部第一内科 |
| 著者 | 棟方 昭博 | 弘前大学医学部第一内科 |
| 【 要旨 】 | 従来は開腹しなければ診断が困難だった部位に存在する小腸腫瘍でも，ダブルバルーン内視鏡を用いることによって観察・生検し，術前に確定診断が得られるようになった． また，診断のみにとどまらず，一部の腫瘍は内視鏡的に治療することが可能となっている． 小腸の腫瘍が全消化管腫瘍に占める頻度は少ないが，小腸の悪性腫瘍のなかでは小腸癌，悪性リンパ腫，平滑筋肉腫が多く，良性腫瘍ではGIST (gastrointestinal stromal tumor)，脂肪腫，過誤腫，血管系の腫瘍が多い．本稿では頻度の多い疾患について概説するとともに当科にて経験した症例を呈示する． |
|
| Theme | Update of Endoscopy for Small Intestine | |
|---|---|---|
| Title | Diagnosis of Small Intestinal Tumors with Double Balloon Endoscopy | |
| Author | Tatsuya Mikami | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Shinsaku Fukuda | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Norihiro Hanabata | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Tsuyotoshi Tsuji | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Daisuke Nishiya | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Tetsuro Yoshimura | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Akihiro Munakata | First Department of Internal Medicine, Hirosaki University School of Medicine |
| [ Summary ] | Most small intestinal tumors have been diagnosed after laparotomy, because we could approach very little of the small intestine endoscopically, except the oral part of the jejunum and the terminal ileum. However, double balloon endoscopy (DBE) enables us to observe all of the small intestine. We can now diagnose small intestinal tumors preoperatively with biopsies. Furthermore, we can perform polypectomies or EMR (endoscopic mucosal resection) when tumors are in the early stages. Small intestinal tumors are rare in the gastrointestinal tract. Cancers, lymphomas, and leiomyosarcomas are three major tumors associated with small intestinal malignancies. GISTs (gastrointestinal tumors), lipomas, hamartomas, and anginal tumors are also observed as benign tumors. Salient points concerning these types of tumors are discussed. |
|