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タイトル十二指腸潰瘍の再発予防に関する内視鏡的検討
タイトルヨミジュウニシチョウ カイヨウ ノ サイハツ ヨボウ ニ カンスル ナイシキョウテキ ケントウ
タイトル別表記Endoscopic evaluation of high risk group in recurrence of duodenal ulcer
作成者木下, 久美子
作成者ヨミキノシタ, クミコ
作成者別表記Kinishita, Kumiko
作成者所属山口大学医学部
内容記述(抄録等)Dyeing endoscopy in combination with Methylene Blue (MB) and Congo Red (CR) was performed in 154 patients with duodenal ulcer (DU) scar. All the patients were followed periodically by dyeing endoscopy from 8 to 44 month. Incidence of the recurrence of DU was evaluated with the reference of the background factors, endoscopic findings and endoscopic dyeing patterns. Background factors (i.e. smoking habit, alcohol habit, stress and blood types) did not affect the recurrence of DU during maintenance therapy. No conventional endoscopic findings could predict the recurrence of DU. There were higher recurrence rates in patients shown poor absorption of MB and broad gastric secreting area. Preventive therapy for recurrence of duodenal ulcer guided by dyeing cndoscopy was estimated. Patients given maximum dose of antisecreting medicine showed expected outcome in its prevention. However patients who had discontinued or decreased the dosage of antisecreting agents did much higher recurrence rate of DU. It is concluded that ; 1) dyeing endoscopy in combination with MB and CR is effective in early detection of the recurrence of DU. 2) maintenance therapy guided by dyeing endoscopy is preferable in the prevention of recurrence of DU, even in high risk group.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
37
4
開始ページ267
終了ページ280
発行日1988-08
著者版/出版社版その他
リポジトリIDB030037000406
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030037000406