INTESTINE Vol.11 No.2(3-2-2)


特集名 大腸のNBI
題名 NBIと臨床 (2) 炎症性腸疾患の診断 b. dysplasia, colitic cancerの診断
発刊年月 2007年 03月
著者 渡辺 憲治 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 町田 浩久 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 細見 周平 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 野口 篤志 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 湯川 智洋 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 鎌田 紀子 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 十河 光栄 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 山上 博一 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 藤原 靖弘 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 押谷 伸英 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 樋口 和秀 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 荒川 哲男 大阪市立大学大学院医学研究科消化器器官制御内科学
【 要旨 】 要旨はありません。
Theme NBI in colon and rectum
Title Diagnosis of colitis associated cancer or dysplasia, using NBI (Narrow Band Imaging)
Author Kenji Watanabe Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Hirohisa Machida Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Shuhei Hosomi Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Atsushi Noguchi Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Tomohiro Yukawa Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Noriko Kamata Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Mitsue Sogawa Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Hirokazu Yamagami Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Yasuhiro Fujiwara Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Nobuhide Oshitani Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Kazuhide Higuchi Department of Gastroenterology, Osaka City University Graduate School of Medicine
Author Tetsuo Arakawa Department of Gastroenterology, Osaka City University Graduate School of Medicine
[ Summary ] The efficacy of surveillance colonoscopy, using NBI for patients with ulcerative colitis (UC) is described. The entire colon was observed using NBI after insertion into the cecum. NBI may indirectly provide pit pattern diagnosis for UC associated cancer or dysplasia (CC / D). The accuracy of CC / D detection was equal to surveillance colonoscopy, using NBI (NBI-SC) or surveillance colonoscopy, employing conventional magnifying chromoendoscopy (CHR-SC). The major difference was in the total surveillance time for colonoscopy. NBI-SC could quickly and easily change NBI observation and conventional observation. NBI-SC has efficacy similar to CHR-SC, and is a very useful and time saving procedure for detection of CC / D in UC patients. NBI-SC will become popular, especially for surveillance colonoscopy, providing convenient optical pancolonic chromoendoscopy.
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