臨牀消化器内科 Vol.32 No.13(10)


特集名 消化器癌の拡大内視鏡診断
題名 大腸早期癌の拡大内視鏡診断
発刊年月 2017年 12月
著者 永田 務 久留米大学医学部内科学講座消化器内科部門/消化器病センター
著者 鶴田 修 久留米大学医学部内科学講座消化器内科部門/消化器病センター
著者 鳥村 拓司 久留米大学医学部内科学講座消化器内科部門/消化器病センター
【 要旨 】 近年,大腸癌は増加傾向であり,内視鏡検査による早期発見,早期治療が期待されている.内視鏡検査時に病変を指摘した際は,通常観察に加え,NBI (Narrow‒Band Imaging)や色素法を用いた拡大観察診断を行うことで,適切な質診断のみでなく深達度診断までもが可能となる.内視鏡的粘膜下層剝離術(endoscopic submucosal dissection ; ESD)を含めた内視鏡治療の普及に伴い,内視鏡診断の重要性が高まってきている.
Theme Magnifying Endoscopic Diagnosis of Gastro‒intestinal Carcinomas
Title Magnified Diagnosis of Early Colorectal Cancer
Author Tsutomu Nagata Division of Gastroenterology, Department of Medicine / Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine
Author Osamu Tsuruta Division of Gastroenterology, Department of Medicine / Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine
Author Takuji Torimura Division of Gastroenterology, Department of Medicine / Department of Endoscopy, Center for Gastroenterology, Kurume University School of Medicine
[ Summary ] Recently, the prevalence of colorectal cancer has been on an increasing trend, and therefore, early detection by endoscopic examination followed by an early treatment is imperative. When lesions are detected during endoscopic examination under magnified observation using NBI (Narrow‒Band Imaging) or pigment method in addition to ordinary observation, an appropriate diagnosis of quality and reachability becomes possible. With the spread of endoscopic treatment including endoscopic submucosal dissection (ESD), the importance of endoscopic diagnosis is increasing.
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