ԤˤʤΤϡѤǤ

شϢ˥塼

ݤΰŷ˥塼(TV)/ͭ̾ͤξ㽸ΰ

䤷Ʈ¤ƤֿƻפȤ

䤷󤵤󤬡3˴ʤäƤȤ餫ˤʤޤ
ڤ̣Ԥƥӻʲǡϲ®λİΨˡɤΰ̾Ȥäμǥȡ䤷̾δΡ䤷ˤ󤬣Τ±ǻƤȤʬäСǯ˿ƻɽƱ˼ѡܤФƺǯƤĴƱĹܤƤǤ˶ƼԤ̩򤬱Ĥޤ졢Τֲ񤬳ͽꡣ

ʹ֥ɥåǽοƻ󤬸ĤäΤϣǯ˥ƥӤΥ쥮顼ȽбᡢܤȯɽطԤä礹ȡλǤ¾Τ⸫ĤäƤꡢڴѻǤǤϤʤäȤ
(䤷󤵤󡡿ƻȯ˴žܡʤ꽵ܼϿô)

䤷󡦥ǥ٥
䤷󡦥ǥ٥
ƻȤϡƻȯؤޤȯǯ60ǤꡢȯɤΥꥹȤʤΤϡʱ򤬤ꡢäξԤѤȤδط졢120ܰʾʱ줷3ʾ򤹤뷲¾η١ƻȯͭդʺΤ뤳ȤŦƤޤޤƻ饷忩ƻBarrettƻʤɤ˴ȯ٤⤤ȻŦƤޤ

Ķڤȼƻȯ뵡äᡢƻȯε񤬤äƤޤǤϡŪǴڽ(endoscopic mucosal resectionEMR)Ԥ뤳ȤƤޤ

ɾȤƤϡǤϿʪߤꡢʪ̲㳲۾ﴶʤɤη٤οƻɾꤨޤʹԴȤʤȡ٤ˤʤꡢ벼㳲ʤäƤơǤߤ뤳Ȥ⤢ޤǤϡˤϿʪΤߤǤʤñդǴդޤǤǽФƤޤ

Τ褦ɽߴξǤϡɾǧʤΤ褽Ⱦ٤ǤޤʹԴǤϽʤʤΤϤ鷺5٤Ǥꡢ벼㳲ͭ㤬Ⱦޤ

ƻˤ줬ʤᡢ¡ؤο᤬䤹ˤˤߤ줿ꡢƻȤδ֤񹦷ˤ㤷뤳Ȥ⤢ޤޤȿˤʤɤߤ뤳Ȥ⤢ޤ³ɤ

ƻȿǤ졤ݤ䤷󤵤

μǥȤΤ䤷ʣˤƻ򴵤äƤ뤳Ȥɽ

°̳꤬̤ǡָǤη̡οƻǤ뤳ȤȽޤפֺϼŤΤˡФ餯δ֡쥮顼Ȥ򤪵٤ߤƤޤ轵ڤߤƤ볧ͤˤѿޤפȤƤ롣ΥƥӣɤǴδȣܤΥ쥮顼ƤꡢФƤĹŪʵܤ򿽤줿

ǯäƤ顢ϤˡְߤĴҤפä±ǸƱ˷̤ФơΤ줿

ǯ˲μǥӥ塼ǯȯΡ֤äѹͤסǯˤϡפҥåȡƥȤλʲԤȤƤ⡢ˤ夻̿ɸΤ֤ä㤱ȡǿ͵򽸤ᡢϲ®λİΨˡɤȸƤФ롣ԤζŰĹʣˤȤƸ򤬿إӡ⡼ȤΤ졢ǯ٤˷꤬ٵ򴵤äȸɽǯˤϡˤǤݥ꡼פμŤ

̳¦ϡܿͤϤäƸǡäƤ뼡ǤƻˤϺǤ⤤ʤФ⤷Ф餯ϲƤŤǰƤȻפäƤޤơʤ٤᤯ʻѤǡޤʤƤȻפäƤޤפȥȤƤ롣
(䤷󡡿ƻɽĹܤ)

ƻȤ


ƻȤϡƻȯؤޤȯǯ60ȤʤäƤޤȯɤΥꥹեȤƤϡʱ򤬤ꡢäξԤѤȤδط졢120ܰʾʱ줷3ʾ򤹤뷲¾η١ƻȯͭդʺΤ뤳ȤŦƤޤޤƻ饷忩ƻBarrettƻʤɤ˴ȯ٤⤤ȻŦƤޤ

Ķڤȼƻȯ뵡äᡢƻȯε񤬤äƤޤǤϡŪǴڽ(endoscopic mucosal resectionEMR)Ԥ뤳ȤƤޤ

ɾȤƤϡǤϿʪߤꡢʪ̲㳲۾ﴶʤɤη٤οƻɾꤨޤ

ʹԴȤʤȡ٤ˤʤꡢ벼㳲ʤäƤơǤߤ뤳Ȥ⤢ޤǤϡˤϿʪΤߤǤʤñդǴդޤǤǽФƤޤ

Τ褦ɽߴξǤϡɾǧʤΤ褽Ⱦ٤ǤޤʹԴǤϽʤʤΤϤ鷺5٤Ǥꡢ벼㳲ͭ㤬Ⱦޤ

ƻˤ줬ʤᡢ¡ؤο᤬䤹ˤˤߤ줿ꡢƻȤδ֤񹦷ˤ㤷뤳Ȥ⤢ޤޤȿˤʤɤߤ뤳Ȥ⤢ޤ

ƻȯ¸߿Ǥϡò¤Ƹ˹ԤƤޤäˡȯˤϡ(ǴοǤ1cm ʲȯ礭̤Ƥ)˹ԤƤޤ

ƻοǤԤ졢̩Ȥƣ¤Ƹ򤵤뷹褦ǤѤλŦû֤ưפˤǤX¤Ƹ¦οã١긫ǤФˤǴ첼Ѥιʤɤʬ뤫Ǥ

¾ĶȸCTMRIĶʤɤԤޤˤꡢ׾θˤƤϿƻμ¡ᡢžܿǡ¾¡ؤžܿǤʤɤȤʤäƤޤޤǯǤϳFDG-PETͭǧĤĤꡢƻοǤѤĤĤޤ

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