胃と腸57巻10号

2022年09月発行

今月の主題 大腸腫瘍診療の最前線 主題

画像強調大腸内視鏡検査の最前線—拾い上げ診断

著者： 吉田直久¹ 井上健¹ 廣瀬亮平¹ 土肥統¹ 稲田裕² 村上貴彬³ 森本泰隆⁴ 伊藤義人¹

所属機関： ¹京都府立医科大学大学院医学研究科消化器内科学 ²京都第一赤十字病院消化器内科 ³愛生会山科病院内視鏡科 ⁴済生会京都府病院消化器内科

ページ範囲：P.1233 - P.1241

要旨●大腸内視鏡検査における画像強調内視鏡観察（IEE）は病変発見や診断に活用されておりその精度は新たな内視鏡機器の開発により急速に進歩している．昨今これまで用いられてきたキセノン光やレーザー光を用いた内視鏡に加えてLEDを光源とした新しい内視鏡が登場している．またさらなるポリープ発見の精度向上のために種々の観察法の検証が行われており，NBI，BLIおよびLCIなどの特殊モードによる観察が白色光観察に比して有用である可能性が示唆されている．本稿ではIEEの大腸病変発見の有用性について詳説する．

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