タイトル(別表記) Video capsule endoscopy usage: Intra-hospital consultations before and after the expansion of indications
著者 川野 誠司| 岩室 雅也| 井口 俊博| 杉原 雄策| 原田 馨太| 平岡 佐規子| 岡田 裕之|
抄録 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.
キーワード カプセル内視鏡(video capsule endoscopy) 適応拡大(expansion of indication) 院内紹介(intra-hospital consultation)
出版物タイトル 岡山医学会雑誌
発行日 2018-12-03
130巻
3号
開始ページ 155
終了ページ 159
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.130.147
言語 Japanese
著作権者 Copyright (c) 2018 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.130.147
NAID 130007542857
タイトル(別表記) Magnified observation of spontaneous morphological changes of duodenal follicular lymphoma
フルテキストURL 128_111.pdf
著者 岩室 雅也| 高田 尚良| 川野 誠司| 河原 祥朗| 吉野 正| 岡田 裕之|
抄録  A 63-year-old Japanese woman was diagnosed with duodenal follicular lymphoma. The initial esophagogastroduodenoscopic examination with magnifying observation revealed opaque white spots and enlarged whitish villi. Nine months later, esophagogastroduodenoscopy showed that the size of the lymphoma lesion decreased, and only opaque white spots were visible. The histological analysis of biopsy samples obtained during the initial endoscopy examination showed both neoplastic follicles and an inter-follicular infiltration of lymphoma cells, whereas the biopsy samples obtained at the endoscopy performed 9 months later showed only neoplastic follicle formation. These results suggest that the magnifying endoscopic features may reflect the underlying pathological mechanisms : enlarged whitish villi are probably due to lymphoma cell infiltration in the inter-follicular area, and opaque white spots are probably caused by neoplastic follicle formation.
キーワード 消化管原発濾胞性リンパ腫(primary gastrointestinal follicular lymphoma) 悪性リンパ腫(malignant lymphoma) 拡大内視鏡検査(magnifying endoscopy)
出版物タイトル 岡山医学会雑誌
発行日 2016-08-01
128巻
2号
開始ページ 111
終了ページ 116
ISSN 0030-1558
関連URL isVersionOf https://doi.org/10.4044/joma.128.111
言語 Japanese
著作権者 Copyright (c) 2016 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.128.111
NAID 130005262531
著者 岩室 雅也|
発行日 2012-03-23
出版物タイトル
資料タイプ 学位論文
著者 岩室 雅也| 大家 昌源| 吉岡 正雄| 那須 達世| 小川 恒由| 伊藤 守| 石山 修平| 藤原 明子| 塩出 純二| 山本 和秀| 糸島 達也|
発行日 2005-09-01
出版物タイトル 岡山医学会雑誌
117巻
2号
資料タイプ 学術雑誌論文