Title Alternative Video capsule endoscopy usage: Intra-hospital consultations before and after the expansion of indications
Author Kawano, Seiji| Iwamuro, Masaya| Inokuchi, Toshihiro| Sugihara, Yuusaku| Harada, Keita| Hiraoka, Sakiko| Okada, Hiroyuki|
Abstract Approximately 10 years have passed since video capsule endoscopy (VCE)was introduced in routine clinical practice in Japan. We started using VCE in January 2009. Here we investigated the contribution of VCE and its level of recognition at our 855-bed hospital. We compared the clinical characteristics of intra-hospital consultation cases with non-consultation cases, and the details of the cases from each of our hospital’s departments. The number of intra-hospital consultations was notably increased by our expansion of the indications for non-obscure gastrointestinal bleeding (OGIB)cases. However, most of our hospital’s departments are sub-departments of internal medicine, in which almost no change in indications has been made. We found that the percentage of OGIB cases was higher among the intra-hospital consultations than non-consultations, and that the OGIB percentages differed markedly among the departments. Especially for OGIB cases, all hospital departments should be better informed regarding the indications for and efficacy of VCE.
Keywords カプセル内視鏡(video capsule endoscopy) 適応拡大(expansion of indication) 院内紹介(intra-hospital consultation)
Publication Title Journal of Okayama Medical Association
Published Date 2018-12-03
Volume volume130
Issue issue3
Start Page 155
End Page 159
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.147
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.147
NAID 130007542857
Title Alternative An effective case of peroral endoscopic myotomy for esophageal abnormal peristalsis after Heller-Dor myotomy
Author Sugihara, Yuusaku| Harada, Keita| Kato, Ryo| Yamauchi, Kenji| Takashima, Shiho| Yamasaki, Yasushi| Inokuchi, Toshihiro| Takahara, Masahiro| Kawano, Seiji| Hiraoka, Sakiko| Manabe, Noriaki| Otsuka, Fumio| Okada, Hiroyuki|
Abstract Esophageal achalasia is a disorder of the lower esophageal sphincter muscle. Our patient, a Japanese male in his 80's, had been experiencing dysphagia for almost 60 years. He was treated with balloon dilations and Heller-Dor 5 years prior to his present admission. Esophagogastroduodenoscopy, esophageal radiography, and high-myotomy manometry indicated that the symptoms were likely due to abnormal peristalsis. With the patient’s informed consent, we performed a peroral endoscopic myotomy(POEM). The patient was discharged 4 days post-surgery. At the 6-month postoperative examination, no worsening of symptoms or relapse was observed. POEM is an excellent treatment method for esophageal achalasia from the perspective of therapeutic effect. We recommend that POEM be considered as the first-choice treatment for abnormal peristalsis after a Heller-Dor myotomy.
Keywords POEM(peroral endoscopic myotomy) 食道アカラシア(esophageal achalasia)
Publication Title Journal of Okayama Medical Association
Published Date 2018-08-01
Volume volume130
Issue issue2
Start Page 67
End Page 71
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.130.67
language 日本語
Copyright Holders Copyright (c) 2018 岡山医学会
File Version publisher
DOI 10.4044/joma.130.67
NAID 130007481050
Author Harada, Keita|
Published Date 2008-06-30
Publication Title
Content Type Thesis or Dissertation