胃と腸57巻13号

2022年12月発行

今月の主題 IEEを使いこなす

主題

LCIを使いこなす—下部消化管：大腸病変の発見と診断におけるLCIの活用

著者： 吉田直久¹ 井上健¹ 小林怜央¹ 冨田侑里¹ 橋本光¹ 廣瀬亮平¹ 土肥統¹ 稲田裕² 村上貴彬³ 森本泰隆⁴ 森永友紀子⁵ 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愛生会山科病院内科 ⁴京都済生会病院消化器内科 ⁵京都府立医科大学附属病院病理診断科

ページ範囲：P.1675 - P.1684

文献概要

要旨●LCIはレーザー内視鏡における狭帯域光観察モードとして2014年に登場し，大腸病変の視認性向上，腺腫やSSLの見逃し率の低下や発見数の向上における有用性が数多く報告されている．さらに，2020年より本邦で使用されているLED内視鏡においてもLCIが施行可能となり，病変の視認性向上や見逃し防止の有用性が報告されている．また，レーザー内視鏡とLED内視鏡のLCIを比較した近年の多施設共同研究により，腫瘍の視認性向上の効果についての非劣性も証明されている．本稿では，大腸病変の内視鏡診療におけるLCIの有用性について詳説する．

参考文献

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