胃と腸55巻2号

2020年02月発行

今月の主題 潰瘍性大腸炎関連腫瘍—診断・治療の現状と課題 主題関連研究

潰瘍性大腸炎に対するサーベイランス—SCENIC international consensus statementの概要と問題点

著者： 松本主之¹ 川崎啓祐¹

所属機関： ¹岩手医科大学医学部内科学講座消化器内科消化管分野

ページ範囲：P.191 - P.199

要旨●2015年に欧米の研究者を主要メンバーとした潰瘍性大腸炎（UC）の大腸癌サーベイランス法に関する国際会議が開催され，合議の結果がSCENIC国際ステートメントとして発表された．このステートメントでは，臨床データに基づいたUCのサーベイランス法が検討され，色素内視鏡検査による観察と境界明瞭な病変に対する内視鏡的切除が推奨されている．本ステートメントの発表以降，欧米では画像強調内視鏡検査を用いたUCの腫瘍性病変の診断法に関する臨床研究と内視鏡治療に関する議論が活発となった．すなわち，SCENIC国際ステートメントを契機として，欧米では潰瘍性大腸炎のサーベイランス内視鏡に対する考え方が大きく変化したと言えよう．

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