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フルテキストURLA050058000103.pdf ( 2.0MB ) 公開日 2011-12-19
タイトルUtility of CT enteroclysis for small intestinal hemorrhage
作成者Washida, Yasuo
Shimizu, Kensaku
Kobayashi, Taiga
Kishi, Takayuki
Ueda, Takaaki
Katoh, Masatoshi
Onoda, Hideko
Fujita, Takeshi
Matsunaga, Naofumi
作成者ヨミワシダ, ヤスオ
シミズ, ケンサク
コバヤシ, タイガ
キシ, タカユキ
ウエダ, タカアキ
カトウ, マサトシ
オノダ, ヒデコ
フジタ, タケシ
マツナガ, ナオフミ
作成者別表記鷲田, 康雄
清水, 建策
小林, 大河
岸, 尭之
上田, 高顕
加藤, 雅俊
小野田, 秀子
藤田, 岳史
松永, 尚文
内容記述(抄録等)Purpose : To examine the utility and limitations of computed tomography enteroclysis (CTE) in examining clinically suspected small intestinal hemorrhage.Subjects and Methods : Subjects comprised 41 patients (16 men, 25 women) with suspected gastrointestinal bleeding based on fecal occult blood or tarry stool between April 2008 and August 2010. CTE was performed after the cause of bleeding could not be clearly identified on upper or lower gastrointestinal endoscopy. Capsule endoscopy was also performed in 25 patients and double balloon endoscopy in 13 patients. Results : CTE findings were obtained for 17 of 41 patients (41%), suggesting vascular malformation in 9 patients (22%), inflammatory bowel disease in 7 (17%), and small intestinal tumor in 1 (2%). Capsule endoscopy or double balloon endoscopy confirmed these suspicions in all except 1 patient with angiodysplasia confirmed angiographically and 1 patient with a false-positive finding of tumor. In 20 of the 24 patients showing no abnormalities on CTE, no obvious source of bleeding was found with capsule endoscopy or double balloon endoscopy.Conclusion : CTE can successfully detect a wide variety of lesions, including not only Crohn’s disease and vascular malformations, but also drug-induced small intestinal injury, small intestinal tuberculosis, and nontuberculous mycobacteriosis.
本文言語eng
著者キーワードCT enteroclysis
double balloon endoscopy
capsule endocscopy
obscure gastrointestinal bleeding
資料タイプtext
ファイル形式application/pdf
出版者Yamaguchi University School of Medicine
NII資料タイプ紀要論文
学内刊行物(紀要等)The bulletin of the Yamaguchi Medical School
掲載誌名The bulletin of the Yamaguchi Medical School
58
1-2
開始ページ11
終了ページ18
発行日2011
著者版/出版社版出版社版
リポジトリIDA050058000103
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/A050058000103