INTESTINE Vol.14 No.1(2-8)


特集名 下血/血便をきたす腸疾患─non-IBDを中心に
題名 [各論]炎症性腸疾患と大腸癌以外の出血をきたす各種腸疾患の画像上の鑑別診断と治療 (8) 放射線照射性腸炎
発刊年月 2010年 01月
著者 江﨑 幹宏 九州大学大学院病態機能内科学
著者 松本 主之 九州大学大学院病態機能内科学
著者 飯田 三雄 九州大学大学院病態機能内科学
【 要旨 】 放射線照射性腸炎は骨盤内悪性腫瘍に対する放射線治療の合併症として発症する.発生部位は,直腸・S状結腸が多く,小腸は可動性に富むことから罹患率は比較的低い.本症は,放射線治療歴の聴取に加えて照射野に一致した消化管病変の存在を確認することで容易に診断できるが,治療に難渋する例が少なくない.本稿では放射線照射性腸炎における臨床症状,画像所見の特徴並びに治療法を中心に概説した.
Theme Bloody stools in non -- IBD intestinal disorders
Title Radiation-induced enteropathy
Author Motohiro Esaki Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
Author Takayuki Matsumoto Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
Author Mitsuo Iida Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
[ Summary ] Radiation-induced enteropathy is a complication following irradiation for pelvic malignancies. The rectum and the distal sigmoid colon are usually affected, while the small intestine is rarely disturbed because of its mobility. Enteropathy can be easily diagnosed in cases where previous pelvic irradiation is confirmed, as well as intestinal pathology observed within the irradiated area. On the other hand, the effectiveness of conservative treatments is unsatisfactory. In this article, the clinical aspects, radiological and endoscopic characteristics, as well as therapeutic approaches for the disease are reviewed.
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