INTESTINE Vol.23 No.4(10)


特集名 原因不明消化管出血(OGIB)
題名 OGIB診療における保険診療上の注意点と今後の課題
発刊年月 2019年 08月
著者 田中 周 日本医科大学消化器内科
著者 星本 相理 日本医科大学消化器内科
著者 橋野 史彦 日本医科大学消化器内科
著者 梅田 隆満 日本医科大学消化器内科
著者 大森 順 日本医科大学消化器内科
著者 三井 啓吾 日本医科大学消化器内科
著者 辰口 篤志 日本医科大学消化器内科
著者 藤森 俊二 日本医科大学消化器内科
著者 岩切 勝彦 日本医科大学消化器内科
【 要旨 】 「原因不明消化管出血(OGIB)」の診療における診断や治療に小腸内視鏡検査は必須かつ有用であることに議論の余地はない.バルーン内視鏡検査の普及とともに小腸診療は飛躍的に進歩してきたが,まだ歴史が浅く,保険診療が実態にそぐわない部分も多々ある.必要に応じて,保険点数の改正や新たな項目の保険収載などで保険診療をより適正化することによって,さらなる技術の普及と小腸診療の発展が望まれる.
Theme Obscure gastrointestinal bleeding (OGIB)
Title Issues related to health care services provided by health insurance for diagnosis and treatment of obscure gastrointestinal bleeding
Author Shu Tanaka Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Aitoshi Hoshimoto Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Humihiko Hashino Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Takamitsu Umeda Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Jun Omori Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Keigo Mitsui Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Atsushi Tatsuguchi Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Shunji Fujimori Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
Author Katsuhiko Iwakiri Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine
[ Summary ] Balloon-assisted enteroscopy (BAE) is essential and useful for the diagnosis and treatment of obscure gastrointestinal bleeding (OGIB). Medical treatment of small intestinal issues has shown remarkable advances; however, BAE is a relatively new technique, and health care services are not necessarily congruent with reality. Revision of medical remuneration points and insurance listing of a new item as being necessary will lead to widespread use of endoscopic skills and development of the medical domain for the management of issues associated with the small intestine.
戻る