| 特集名 | 大腸内視鏡検査での偶発症をなくす | |
|---|---|---|
| 題名 | 治療手技の偶発症とその対策 (2) 拡張術の偶発症 b. 炎症性腸疾患に対する内視鏡的バルーン拡張術 -- 偶発症をふくめて | |
| 発刊年月 | 2002年 03月 | |
| 著者 | 真武 弘明 | 福岡大学筑紫病院消化器科 |
| 著者 | 津田 純郎 | 福岡大学筑紫病院消化器科 |
| 著者 | 松井 敏幸 | 福岡大学筑紫病院消化器科 |
| 【 要旨 】 | 要旨はありません。 | |
| Theme | To prevent from complication in colonoscopy | |
|---|---|---|
| Title | Safe endoscopic balloon dilation for stenosis of inflammatory bowel disease | |
| Author | Hiroaki Matake | Department of Gastroenterology, Fukuoka University Chikushi Hospital |
| Author | Sumio Tsuda | Department of Gastroenterology, Fukuoka University Chikushi Hospital |
| Author | Toshiyuki Matsui | Department of Gastroenterology, Fukuoka University Chikushi Hospital |
| [ Summary ] | There are many complication with inflammatory bowel disease (IBD), especially Crohn's disease (CD), of which bowel stenosis is the most serious. In our institutions, bowel stenosis is the main reason for surgery in CD cases. Non-surgical treatment is required for bowel stenosis in CD cases, because the re-occurrence of stenosis after surgery is common. Therefore endoscopic balloon dilation (EBD) is the most suitable method for treating bowel stenosis based on IBD. From 1985 to 2001, EBD was performed two hundred ninty five times for IBD stenosis in our institutions. To establish safe techniques for EBD, we adopted somewhat low pressure dilation and a gradual increase in balloon diameter. After EBD, the rate of patients not needing surgery in CD cases was 92% in the first year and 77% over three years. Complications caused by EBD techniques occurred in only three patients (1%) out of two hundred ninty five dilation procedures. Three patients with perforations were treated surgically and recovered without further complications. Other complications, including massive bleeding, did not occur in our institutions. Based on these findings, EBD is considerd to be one of the safest treatments among the therapeutic strategies for IBD. |
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