INTESTINE Vol.17 No.6(2-1-3)


特集名 カプセル・バルーン内視鏡の新展開
題名 バルーン内視鏡編 (1) バルーン内視鏡を使用した治療内視鏡 c.小腸異物除去
発刊年月 2013年 12月
著者 三井 啓吾 日本医科大学消化器内科学
著者 鈴木 将大 日本医科大学消化器内科学
著者 江原 彰仁 日本医科大学消化器内科学
著者 田中 周 日本医科大学消化器内科学
著者 藤森 俊二 日本医科大学消化器内科学
著者 坂本 長逸 日本医科大学消化器内科学
【 要旨 】 バルーン内視鏡によって,小腸異物を除去することも可能となった.実際の症例では,重篤な症状の有無,異物の種類・数,通過障害の有無を,詳細な病歴聴取や画像診断によって速やかに判断することが大切である.嚥下可能な異物の80~90%は,自然排出が期待できるため,十分な経過観察下で自然排泄を待つこともある.一方,鋭利で腸壁を貫く可能性のあるものや毒性を生じるものは,速やかに除去を行う.
Theme New developments in capsule/balloon-assisted endoscopy
Title Therapeutic endoscopy using balloon assisted endoscopy -- Removal of foreign bodies
Author Keigo Mitsui Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Masahiro Suzuki Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Akihito Ehara Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Shu Tanaka Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Shunji Fujimori Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Choitsu Sakamoto Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
[ Summary ] Balloon-assisted endoscopy has enabled us to remove foreign bodies from the small intestine. In practice, severity of the patient's condition, number and kind of foreign bodies, as well as the existence of passage failure through the small intestine may be revealed initially from detailed histories and imaging performed with X-ray CTs.,
Certain foreign bodies may be closely observed until evacuation. Foreign bodies which are swallowed are evacuated spontaneously in eighty to ninety percent of cases.However, sharp pointed objects or toxic material should be promptly removed with balloon-assisted endoscopy.
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