| 特集名 | 小児の消化器内視鏡診療 | |
|---|---|---|
| 題名 | 乳幼児／学童期に多い消化器疾患 | |
| 発刊年月 | 2015年 03月 | |
| 著者 | 多田 明良 | 長野県立病院機構木曽病院小児科 |
| 著者 | 新井 勝大 | 国立成育医療研究センター消化器科 |
| 【 要旨 】 | 近年，炎症性腸疾患や好酸球性消化管疾患などの増加により，内視鏡検査による診断や治療を要する小児の消化器疾患が増加してきている．しかしながら内視鏡検査はその侵襲性により乳幼児・学童期においては敬遠される傾向にあり，診断も遅れやすい． 本稿では，乳幼児・学童期において，内視鏡検査を考慮すべきおもな消化器疾患を解説した．小児期の診療においては消化器症状以外にも成長障害，二次性徴遅延など器質的疾患の徴候がないか，常に念頭におきつつ診療を行っていく必要がある． |
|
| Theme | Gastrointestinal Endoscopy in Children | |
|---|---|---|
| Title | Gastrointestinal Disorders in Infancy and Childhood | |
| Author | Akira Tada | Pediatrics, Kiso Hospital, Nagano Prefectural Hospital Organization |
| Author | Katsuhiro Arai | Department of Gastroenterology, National Center for Child Health and Development |
| [ Summary ] | As the number of children with inflammatory bowel disease, eosinophilic gastrointestinal disorders, and other gastrointestinal disorders has increased, more children are undergoing diagnostic or therapeutic endoscopy even in infancy. Endoscopy is regarded as an invasive procedure for children, but the delay in conducting endoscopy might results in an unnecessary delay in the diagnosis of a gastrointestinal disorder. This chapter focuses on gastrointestinal disorders in infancy or childhood that require endoscopy for diagnosis or treatment. It is very important to differentiate these diseases from other non‒gastrointestinal disorders that might be complicated with a growth delay or delayed puberty. |
|