臨牀消化器内科 Vol.28 No.11(1-3)


特集名 下部直腸・肛門部疾患の診断と治療
題名 検査法 (3) 内視鏡検査
発刊年月 2013年 10月
著者 久部 高司 福岡大学筑紫病院消化器内科
著者 松井 敏幸 福岡大学筑紫病院消化器内科
【 要旨 】 下部直腸・肛門部は10cm程度の領域であるが,組織学的にも機能的にも多様性を示し,多様な疾患の発生の場となり患者のQOLに大きく影響する.内視鏡観察では,こうした解剖学的特徴を理解して検査を行う.通常観察で病変の色調や形態などを捉え,これに色素散布内視鏡所見や拡大内視鏡所見,超音波内視鏡所見を組み合わせて診断を行っていく.
Theme Diagnosis and Treatment of Anorectal Disease
Title Endoscopic Diagnosis of Lower Rectal and Anal Lesions
Author Takashi Hisabe Department of Gastroenterology, Fukuoka University Chikushi Hospital
Author Toshiyuki Matsui Department of Gastroenterology, Fukuoka University Chikushi Hospital
[ Summary ] Unlike the colon, the lower rectum and anus are histologically and functionally diverse, all within a range of approximately 10 cm. A variety of disorders occur in the lower rectum and anus, all of which greatly affect patientsʼ quality of life. Endoscopy involves examination based on an understanding of these anatomical characteristics. Conventional endoscopy is used to determine the color and shape of lesions, as well as other details. Diagnosis is made by combining findings from chromoendoscopy, magnifying endoscopy, and endoscopic ultrasound examinations.
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