胃と腸55巻5号

2020年05月発行

増刊号 消化管腫瘍の内視鏡診断2020 主題

—胃腫瘍性病変の内視鏡診断—診断の進め方

著者： 八尾建史¹ 今村健太郎¹ 長浜孝² 田邉寛³ 岩下明德⁴

所属機関： ¹福岡大学筑紫病院内視鏡部 ²長浜クリニック ³福岡大学筑紫病院病理部 ⁴AII病理画像研究所

ページ範囲：P.545 - P.556

●「考える内視鏡診断」のポイント
1．早期胃癌の内視鏡診断のステップには，①存在診断（detection），②質的診断（characterization），③術前診断（preoperative diagnosis）がある．
2．それぞれのステップには，①技術，②知識，③経験が必要である．
3．さまざまなモダリティを臨床応用するためには，診断法の有用性に加えて限界となる病変について理解しておくことが肝要である．
4．限界例を考慮した明快なストラテジーに沿った診療clinical practiceを実践することが，医師が“考える内視鏡診断”である．

参考文献

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