胃と腸43巻4号

2008年04月発行

特集 小腸疾患2008 総論 7.小腸腫瘍性疾患の内視鏡診断

小腸腫瘍性疾患の内視鏡診断

著者： 福本晃¹ 田中信治¹ 宍戸孝好² 竹村嘉人² 山口敏紀² 神野大輔² 中尾円² 岡志郎¹ 吉田成人¹ 日山亨² 上野義隆¹ 伊藤公訓² 北台靖彦² 茶山一彰²

所属機関： ¹広島大学病院光学医療診療部 ²広島大学大学院分子病態制御内科学

ページ範囲：P.477 - P.488

要旨　小腸腫瘍は胃や大腸の腫瘍と比してまれな疾患ではあるが，悪性腫瘍の存在もあり，その診断は重要である．近年，カプセル内視鏡とダブルバルーン内視鏡の登場により，全小腸観察および，小腸腫瘍の内視鏡観察が可能となった．一方，小腸には粘膜下腫瘍が多く生検のみでは診断がつかない場合もあり，その治療方針や追加検査の必要性などを内視鏡所見で適切に判断する必要がある．そのためには病変の表面性状，色調，硬さなどから内視鏡診断を的確に行うことが重要ある．

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