ԤˤʤΤϡѤǤ

شϢ˥塼

ݤΰŷ˥塼(TV)/ͭ̾ͤξ㽸ΰ

ƻ

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

ƻ˴ʤݸܹҤ

ĿɤʤɤdzDzˤϤĤ餤ץ꡼νޥɥʤ̳᤿ͥθܹҡʤߤĤȡ̾ëҡդ䡦ˤ󤬣壶ʬƻΤ±ǻСĤ뤵ʤ [DVD]

ܤϺǯαDzֶۡ¥ͥѥȥפǸڱDz踦ȡƣʣˤȥȡ硼˽б顣ޥɥʤȤȤǡˤϡýν˥Ȼä줬Ǹθξäƣϡ־дǻλפФڤǸäƤ餷ǯϣγʤɷףܤȤ˥٥Ȥ򤵤Ƥ̤ˤǤ餷Τˡפ

ˤθ裱쥮顼б餷ǥ꡼ݡĤǥϢͥƣ뼡ϺʣˤϡֺǯǹԤ줿ȡ硼Ǻƣ򤨤ƣͤǽޤäܤϸŤȸ͡ɤ̼¤ͤȤϱDzλƤǣǤʤǤפȡ򿶤֤ä

뼡Ϻϡֵפ֤ˤ񤤤ơܤϡغ١䥷ͥѥȥλۿͤ顢ߤʤǥŹ˰ߤ˹Ԥ٤ȸäƤäµΡȤӤɤλⴶʤۤɤǤˤƻפȡؼΤ꤬ˤΤ٤ȸƤȤˤʤäåǤפȡƲ«λ˾׷򱣤ʤä
(ƣ뼡Ϻܤ޻˥åּΤ꤬ˤȡġ)

ƻȤ


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⤢ޤ

ƻȯ¸߿Ǥϡò¤Ƹ˹ԤƤޤäˡȯˤϡ(ǴοǤ1cm ʲȯ礭̤Ƥ)˹ԤƤޤ

ƻοǤԤ졢̩Ȥƣ¤Ƹ򤵤뷹褦ǤѤλŦû֤ưפˤǤX¤Ƹ¦οã١긫ǤФˤǴ첼Ѥιʤɤʬ뤫Ǥ

¾ĶȸCTMRIĶʤɤԤޤˤꡢ׾θˤƤϿƻμ¡ᡢžܿǡ¾¡ؤžܿǤʤɤȤʤäƤޤޤǯǤϳFDG-PETͭǧĤĤꡢƻοǤѤĤĤޤ

ŤȤƤϡʲΤ褦ʤΤޤ³ɤ

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

ˡŤȤƤϰʲΤ褦ʤΤޤ³ɤ

ƻ⡢ƬȤƮ¤˴ʤΩ̻֤

͵ȤǸıİΩ̻(̾ͳ)󤬡˴ʤäФä

ǯޤ졣ǯ˸Ⱦ󤵤硣褷̾¤ˡǯ˾ܡǯ˸Ω̻֤̾ƿǤ˾ʤ夫ƬѤ򸽤ڤ̣Τӷꤿ󤫤ǥե䤷

Ʊǯλͷ߳ڤź֤ī󡢽īȤȤˡִʻŷפȸƤФƳǯϤܥƥӷϤαȡ־פǽʲԤ̳ᡢƥӤ饸DzǤûҤˤʤä

ǯˤϻı̵°Ω䤷̱ޤޤ쳫ȯģ̳̳᤿

ǯˤϡҤοǤ򤭤ä˰ȤȤ춨æࡣΩήȸפȤưɤΨ֤夵̽դο͵ȤƤ

ǯˤɽѤƹ¤ǯĴɤܤȯɽǯ˺̤ΤΡǯ̤εܤȯɽౡ򷫤֤ʤƮ¤³Ƥ
(ȤΩ̻֤󡢹Ƭǻ)

ƬȤ


ƬȤϡƬȤϡʪϩȸƵۤΤζϩȤθǤƬαǡϩλϤޤʬؤޤ鸫С֤ΤɤܤȤ(þüˡפΰ֤ˤޤ

ƬεǽȤƤϡƬ˳μǡ۵ǤϲεɤضꡢƵǤϵɤζƬޤ(ζӤ̤碌ȯǤ櫓Ǥ)

Ƭϡȯ̤ˤ⡢⡢粼ʬवޤƬǤ⡢()ȯ뤬6065ᡢ3035 粼϶ˤƾʤ12ǤȤƤޤ(ϼ˸⤬äƤޤ)

ϡ᤯ΤŪȯޤ2䶯ޤˤϰƬ۾ﴶʤɤ꽥ʤʤȤ¿ǤӤ˿Ÿ򤭤ޤ⤬礹ưƬˡ벼ˡз򼫳Ф褦ˤʤޤ粼ˤޤǤˤ̵ɾӤ˿Ÿ򤭤ޤ粼ϥžܤ򵯤䤹ǤʤȤƼǤ뤳Ȥޤ


ȿʬ٨ʿǤꡢ⤬ߤޤ˽10151ȰŪ¿ǤʱȤδϢƤޤ40夫ߤ졤60塢70夬¿Ǥ

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