胃と腸55巻12号

2020年11月発行

今月の主題 高齢者早期胃癌ESDの現状と問題点

主題

高齢者早期胃癌ESDにおける偶発症

著者： 五十嵐公洋¹ 平澤大¹ 遠藤明志¹ 岩屋梨絵¹ 齋藤宏章¹ 鈴木隆太¹ 新井田憩¹ 冨樫純一¹ 友兼正太郎¹ 伊藤聡司¹ 田中一平¹ 海野修平¹ 名和田義高¹ 田中由佳里¹ 阿部洋子¹ 鈴木憲次郎¹ 奥薗徹¹ 中堀昌人¹ 松田知己¹

所属機関： ¹仙台厚生病院消化器センター消化器内科

ページ範囲：P.1461 - P.1473

文献概要

要旨●本稿では，高齢者早期胃癌に対するESDの治療成績について，偶発症を中心に検討を行った．高齢者では併存疾患が多く，年齢別の偶発症の発生頻度は高い傾向を認めるが有意差はなかった．内視鏡治療自体は可能で，偶発症が生じなければ非高齢者と同程度の入院期間で対応可能である一方，ひとたび偶発症が生じると，より長期の入院を必要としていた．アスピリン，シロスタゾール以外の抗血栓薬では出血時期が遅延し，ヘモグロビン減少量が多く，特に留意が必要と思われる．

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