| セッション情報 | International Session7(消化器内視鏡学会・消化器病学会合同)Small bowel endoscopy-Where are we,and where to go? |
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| タイトル | 内IS7-7：The usefulness of spiral enteroscopy for small bowel lesion-a single center experience |
| 演者 | T. Aoyama（Department of Endoscopy, Hiroshima University Hospital） |
| 共同演者 | S. Oka（Department of Endoscopy, Hiroshima University Hospital）, K. Chayama（Department of Gastroenterology and Metabolism, Hiroshima University Hospital） |
| 抄録 | Background: As spiral enteroscopy (SE) was only approved recently since in Japan (in August 2010), the performance characteristics of SE have not been well-described. The AIM of this study is to report our experience with SE. Methods: 26 patients (19 men and 7 women, mean age 60.2 years) underwent SE at our hospital between January 2011 and February 2013. The indication for SE was obscure gastrointestinal bleeding (12 patients), malignant lymphoma (5 patients), and others (9 patients). We evaluated the average depth of insertion, the average time for procedure, endoscopic findings, and complications. SE was performed with an endoscope (EN450P5/T5, FUJIFILM, Japan) and an overtube (EED250/300, Spirus Medical, USA). Results: All patients underwent SE with oral approach, and it successfully passed the ligament of Treitz in all cases. The average depth of insertion was 238cm (range 120-320cm) past the ligament of Treitz, and the average time for the procedure was 44 min (range 23-75min). The small bowel lesions were found in 17 patients (65%), and we performed endoscopic treatment in 9 patients (35%). A major complication was observed in 1 patient (4%) with mucosal injury in the duodenum. Conclusion: Our initial experience of SE showed the usefulness of confirming deep intubation of the small bowel without severe complication. |
| 索引用語 | spiral enteroscopy, small bowel |