INTESTINE Vol.9 No.2(5-1)


特集名 拡大内視鏡の最前線
題名 炎症性腸疾患に対する拡大内視鏡の意義 (1) 炎症そのものに対する意義
発刊年月 2005年 03月
著者 渡辺 憲治 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 中村 志郎 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 押谷 伸英 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 樋口 和秀 大阪市立大学大学院医学研究科消化器器官制御内科学
著者 荒川 哲男 大阪市立大学大学院医学研究科消化器器官制御内科学
【 要旨 】 要旨はありません。
Theme The front line of magnifying endoscopy and pit pattern diagnosis -- Now and future
Title Efficacy of magnifying colonoscopy for inflammatory findings of inflammatory bowel disease
Author Kenji Watanabe Department of Gastroenterology, Osaka City Universtty Graduate School of Medicine
Author Shiro Nakamura Department of Gastroenterology, Osaka City Universtty Graduate School of Medicine
Author Nobuhide Oshitani Department of Gastroenterology, Osaka City Universtty Graduate School of Medicine
Author Kazuhide Higuchi Department of Gastroenterology, Osaka City Universtty Graduate School of Medicine
Author Tetsuo Arakawa Department of Gastroenterology, Osaka City Universtty Graduate School of Medicine
[ Summary ] The efficacy of magnifying colonoscopy for patients with inflammatory bowel disease is a consideration for medical treatment and the estimation of prognosis, or the detection of initial lesions with inflammatory bowel disease. Some articles have shown a well defined relationship between magnifying colonoscopy finding and the grade of histological inflammation or prognosis in patients with ulcerative colitis. On the other hand, aphthoid lesions are well known as the initial lesions related to Crohn's disease. Some papers have reported aphthoid lesion to be the initial lesions related to ulcerative colitis. Additionally, magnifying colonoscopy can detect lymphoid hyperplasia as an additional initial lesion, related to Crohn's disease. Magnifying colonoscopy is not always necessary for patients with inflammatory bowel disease in clinical studies. It is important when performing clinical functions for inflammatory bowel disease that a knowledge of magnifying colonoscopic findings for patients with inflammatory bowel disease be put to practical use with conventional colonoscopy for patients with this condition.
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