INTESTINE Vol.18 No.3(5-1)

Theme Can we change to treat for diminutive colorectal polyp ?
Title Endoscopic observation using "Non traumatic tube" in colon and rectum
Publish Date 2014/05
Author Hiro-o Yamano Department of Gastroenterology, Akita Red Cross Hospital
Author Hiro-o Matsushita Department of Gastroenterology, Akita Red Cross Hospital
Author Kenjiro Yoshikawa Department of Gastroenterology, Akita Red Cross Hospital
Author Ryo Takagi Department of Gastroenterology, Akita Red Cross Hospital
Author Eiji Harada Department of Gastroenterology, Akita Red Cross Hospital
Author Michiko Nakaoka Department of Gastroenterology, Akita Red Cross Hospital
Author Yoshihito Tanaka Department of Gastroenterology, Akita Red Cross Hospital
Author Ryogo Himori Department of Gastroenterology, Akita Red Cross Hospital
Author Yuko Yoshida Department of Gastroenterology, Akita Red Cross Hospital
Author Kentaro Sato Department of Gastroenterology, Akita Red Cross Hospital
[ Summary ] We are urged to conduct high-precision endoscopic examinations before determining "management of diminutive polyps". We perform the observing methods using a device termed a "Non traumatic tube" for routine colonoscopic observations. We believe a small number of observations of the blind side are possible using this device. We also performed retrospective examinations, in order to prove the usefulness of this device. As a result, the group in which this device was used showed one about 3 times the number of lesions than the group, in which it was not used. That group exhibited higher rates in the cecum-ascending colon, and the sigmoid colon. Moreover, a strong tendency for development of diminutive polyps was shown. Furthermore, this method was excellent for observing lesions of 10 mm or larger. As mentioned above, the usefulness of this observing method was shown.
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