出版者・発行元：株式会社医学書院  

DOI： 10.11477/mf.1403203399

CiNii Research

記述言語：英語   出版者・発行元：Journal of Gastroenterology and Hepatology (Australia)  

Background and Aim: Double-balloon endoscopic retrograde cholangiography (DBERC) is a valuable procedure for patients with altered gastrointestinal anatomy. Nonetheless, it is time-consuming and burdensome for both patients and endoscopists, partly because route selection in the reconstructed bowel with complicating loop is challenging. Carbon dioxide insufflation enterography is reportedly useful for route selection in the blind loop. This prospective randomized clinical trial investigated the usefulness of carbon dioxide insufflation enterography for route selection by comparing it with conventional observation. Methods: Patients scheduled to undergo DBERC were consecutively registered. They were divided into carbon dioxide insufflation enterography and conventional groups via randomization according to stratification factors, type of reconstruction methods, and experience with DBERC. The primary endpoint was the correct rate of initial route selection. The secondary endpoints were the insertion time, examination time, amount of anesthesia drugs, and complications. Results: The correct rate of route selection was significantly higher in the carbon dioxide insufflation enterography group (23/25, 92%) than in the visual method (15/25, 60%) (P = 0.018). The insertion time was significantly shorter in the carbon dioxide insufflation enterography group than in the visual group (10.8 ± 11.1 min vs 29.8 ± 15.7 min; P < 0.001). No significant differences in complications were noted between the two groups. The amounts of sedatives and analgesics used were significantly lower in the carbon dioxide insufflation enterography group (P < 0.001 and P < 0.001, respectively). Conclusions: Carbon dioxide insufflation enterography can reduce the burden of DBERC on patients and endoscopists by shortening the examination time and reducing the amount of medication.

DOI： 10.1111/jgh.16112

Web of Science

Scopus

PubMed

記述言語：日本語   出版者・発行元：一般社団法人 日本消化器内視鏡学会  

<p>症例は50歳女性．基礎疾患に神経線維腫症１型があり，42歳時に前医で小腸の壁肥厚と拡張を指摘されたが原因不明とされた．今回，下痢に伴う電解質異常のため前医に入院となったが，腸管拡張も高度となり，精査のため当院へ転院となった．ダブルバルーン内視鏡検査を施行したところ空腸は高度に拡張し，回腸末端に炎症性ポリープと縦走潰瘍を認めた．非潰瘍部の生検組織よりganglioneuromatosisの診断を得た．腸管のびまん性ganglioneuromatosisは神経線維腫症１型の稀な合併症であり，小腸病変を内視鏡で観察，診断し得た貴重な症例と考えられた．</p>

DOI： 10.11280/gee.65.1232

Scopus

CiNii Research