胃と腸48巻4号

2013年04月発行

今月の主題 カプセル内視鏡の現状と展望

主題

カプセル内視鏡の現状と展望―原因不明消化管出血への臨床使用

著者： 藤森俊二¹ 遠坂由紀子¹ 小杉友紀¹ 馬來康太郎¹ 鈴木将大¹ 春日祐介¹ 玉木祐希江¹ 高橋陽子¹ 江原彰仁¹ 小林剛¹ 瀬尾継彦¹ 三井啓吾¹ 米澤真興¹ 田中周¹ 辰口篤志¹ 坂本長逸¹

所属機関： ¹日本医科大学消化器内科

ページ範囲：P.418 - P.424

文献概要

要旨　カプセル内視鏡（CE）の主要な適応に原因不明消化管出血（OGIB）がある．CEは，欧米で最もOGIBの原因疾患とされているangioectasiaや小潰瘍性病変などの小病変の検出に優れ，これらの小病変の検出に関してバルーン内視鏡（BE）や小腸造影検査などより診断率が優れている．したがって，CEでこれらの小病変を検出し，BEなどで治療する方針が有用である．粗大病変に関しては，CEでは全体像がとらえにくく，BEや小腸造影検査が有用である．近年では，CT・MRIなどを用いたバーチャル内視鏡の進歩が著しく，全体像の診断に対する第1選択検査に置き換わっていく可能性がある．

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