INTESTINE Vol.14 No.2(1)

特集名 大腸ESDとEMRのすみ分け
題名 大腸腫瘍の内視鏡的治療 -- 最近の動向
発刊年月 2010年 03月
著者 神谷 芳雄 藤田保健衛生大学消化管内科
著者 平田 一郎 藤田保健衛生大学消化管内科
【 要旨 】 大腸内視鏡検査件数の増加に伴い,内視鏡的治療件数も増加の一途をたどっている.このような状況下,大腸癌治療のガイドラインはあるものの腺腫に対する明確な基準は存在せず今後の課題と思われる.治療手技ではESDも広まりつつあるが,現時点では未だ標準的治療とはなりえず,今後もポリペクトミーおよびEMRは行われていくものと予想される.また病変によっては内視鏡的治療に固執せず,外科的治療も選択肢の一つとして考慮すべきと思われる.
Theme Selection of the therapeutic methods (EMR or ESD) for colorectal tumor
Title Endoscopic colon tumor treatments -- recent trends
Author Yoshio Kamiya Department of Gastroenterology, Fujita Health University
Author Ichirou Hirata Department of Gastroenterology, Fujita Health University
[ Summary ] In recent years, the number of colonoscopic treatments performed has increased with the overall increase in colonoscopic examinations. In these circumstances, the guidelines for treatment of colon cancer were developed. However, it is not clear what the criteria for treatment of colonic adenomas should be therefore, they need further consideration. Endoscopic submucosal dissection is becoming more commonly used. A standard technique has not yet been established but it is expected that polypectomies and endoscopic mucosal resection will fill this role. Accordingly, we should not consider endoscopic treatment exclusively but consider surgical therapy an alternative treatment modality.