臨牀消化器内科 Vol.27 No.8(2-7)


特集名 下部消化管粘膜下腫瘍の診断と治療
題名 各論 (7) 子宮内膜症の診断・治療
発刊年月 2012年 07月
著者 小島 豊 順天堂大学下部消化管外科
著者 秦 政輝 順天堂大学下部消化管外科
著者 高橋 玄 順天堂大学下部消化管外科
著者 五藤 倫敏 順天堂大学下部消化管外科
著者 冨木 裕一 順天堂大学下部消化管外科
著者 坂本 一博 順天堂大学下部消化管外科
【 要旨 】 腸管子宮内膜症は成人女性に発生する子宮内膜症の亜型の一つである.内膜組織が壁外から腸管に浸潤するために,腹痛,しぶり腹,便秘,下痢,下血などの非特異的症状を示すことが多い.また,下部消化管内視鏡検査を含め特異的な所見に乏しく診断が困難な場合が少なくない.治療法に関して,罹患年齢が生殖年齢であり挙児希望がある場合には,妊孕性の維持も考慮し慎重に決定しなければならない.本稿では下部消化管における腸管子宮内膜症の診断と治療について述べる.
Theme Diagnosis and Treatment of Lower Gastrointestinal Tract Submucosal Tumors
Title Diagnosis and Treatment of Endometriosis
Author Yutaka Kojima Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
Author Masaki Hata Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
Author Makoto Takahashi Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
Author Michitoshi Goto Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
Author Yuichi Tomiki Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
Author Kazuhiro Sakamoto Department of Coloproctological Surgery, Juntendo University Faculty of Medicine
[ Summary ] Intestinal endometriosis is a subtype of endometriosis which is common in women in their reproductive years. It is generally associated with nonspecific symptoms, such as abdominal pain, tenesmus, constipation, diarrhea, and melena. This is due to the invasion of endometrial tissue into the intestines from the uterine wall. This condition is difficult to diagnose because these are few specific findings detectable by lower gastrointestinal endoscopy or other approaches. For patients who are in their reproductive years and wish to become pregnant, the desire to preserve fertility should be considered. We report on the diagnosis and treatment of intestinal endometriosis in the lower gastrointestinal tract.
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