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大腸上皮性腫瘍のpiecemeal polypectomy
http://hdl.handle.net/10470/23538
http://hdl.handle.net/10470/235387ba23423-7d88-4ad9-aee3-697cbe40aa69
名前 / ファイル | ライセンス | アクション |
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KJ00006025316.pdf (302.3 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-08-10 | |||||
タイトル | ||||||
タイトル | 大腸上皮性腫瘍のpiecemeal polypectomy | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
別タイトル | ||||||
その他のタイトル | PIECEMEAL POLYPECTOMY OF COLONIC EPITHELIAL TUMOR | |||||
著者名 |
WON, Jong-Sung
× WON, Jong-Sung× NAGASAKO, Kou× HAYASHI, Naoaki |
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著者別名 | ||||||
姓名 | 元, 鍾聲 | |||||
著者別名 | ||||||
姓名 | 長廻, 紘 | |||||
著者別名 | ||||||
姓名 | 林, 直諒 | |||||
出版者 | ||||||
出版者 | 東京女子医科大学学会 | |||||
受付日付 | ||||||
日付 | 2010-08-10 | |||||
日付タイプ | Created | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0040-9022 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00161368 | |||||
書誌情報 |
東京女子医科大学雑誌 巻 66, 号 8, p. 467-470, 発行日 1996-08-25 |
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著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 大腸上皮性腫瘍のpiecemeal polypectomy(PP)後の再発をなくし根治させるためにはどうしたらいいか,1984年から1995年3月までPPを施行した45病変を検討した.一期的に切除した18病変(以下A_1群)はすべて根治し(100%),多期的に切除した27病変(以下A_2群)のうち5病変(19%)が再発した.1回目の内視鏡の切除回数はA_1群がA_2群より有意に多かった.根治群は再発群より切除に要した内視鏡回数が有意に少なかったが(p<0.05),1回目の内視鏡のときの切除回数は有意に多かった.腫瘍の大きさ,切除回数によって再発率に差はなかった.PP後の再発率は11%で,腺管腺腫8%,腺管絨毛腺腫4%,絨毛腺腫38%であった.以上のことからPPを施行する場合,切除回数が多くてもできるたけ1回目の内視鏡のとき取り切った方が望ましいと考えられる. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Colonic epthelial tumor resected by piecemeal polypectomy (PP) in 45 lesions between 1984 and March, 1995 was investigated retrospectively in terms of the ideal resection mothod. PP cases were divided into two groups (A_1, A_2). In group A_1; resection was completed in a single procedure. In group A_2, resection was completed over several examinations. In group Ax, 18 lesions polypectomized were completely cured (100%). In group A_2, 5 out of 27 lesions (19%) underwent recurrence. In the first treatment, group A_1 cases required significantly more strangulations for resection than group A_2. The group with nonrecurrence (NR) required fewer endoscopic therapy sessions than the group with recurrence cases (R) (p<0.05). However, conversely the first treatment, the NR cases required more strangulations for resection than R cases. However, there was no relationship between either the size of the lesion or number of resections per endoscopic procedure and the rate of recurrence. The overall rate of recurrence after PP was 11%, that for tubular adenoma being 8%, villotubular adenoma 4%, and villous adenoma 38%. This study suggested that PP should be completed in a single procedure, regardless of the number of strangulations that the procedure might require in order to reduce the possibility of recurrence. | |||||
著者所属 | ||||||
Department of Gastroenterology, Urawa Municipal Hospital | ||||||
著者所属 | ||||||
Gunma Cancer Center | ||||||
著者所属 | ||||||
Institute of Gastroenterology, Tokyo Women's Medical College | ||||||
著者所属 | ||||||
浦和市立病院消化器内科 | ||||||
著者所属 | ||||||
群馬県立癌センター | ||||||
著者所属 | ||||||
東京女子医科大学消化器病センター内科 |