日本における超音波内視鏡下穿刺吸引法の現況

• 山雄 健次

  愛知県がんセンター中央病院　消化器内科部

• 清水 泰博

  愛知県がんセンター中央病院　消化器外科部

• 矢田 部恭

  愛知県がんセンター中央病院　遺伝子病理部

• 入澤 篤志

  福島県立医科大学　内科学第二講座

書誌事項

タイトル別名

• Present Status of Endoscopic Ultrasound-guided Fine Needle Aspiration in Japan.

抄録

EUS is a combination of endoscopy and intraluminal ultrasonography . EUS also enables ultrasonographic images of high resolution to be obtained . However, whether the lesion is malignant or benign cannot be diagnosed solely from the findings of EUS. Endoscopic ultrasound guide fine needle aspiration (EUS-FNA) was developed in early 1990s to enhance the diagnostic capabilities of EUS by providing additional pathological findings . EUS-FNA has not been widely accepted in Japan. This may be due to the technical difficulties, relatively low sensitivity for the detection of malignancies and the Japanese gastroenterologist's and surgeon's inherent conservative way of thinking. We describe here the short history of EUS-FNA mainly in Japan, current indications and contraindications, diagnostic accuracy and complications in details. In the near future, EUS followed by EUS-FNA will be routinely performed in the same manner as gastrointestinal endoscopy, fllowed by biopsy under direct vision. And also therapeutic EUS may become feasible as a less invasive and safer technique.

収録刊行物

• 日本消化器内視鏡学会雑誌

  日本消化器内視鏡学会雑誌 50 (11), 2816-2827, 2008

  一般社団法人 日本消化器内視鏡学会

キーワード

• EUS
• EUS-FNA
• lnterventional EUS

詳細情報

• CRID: 1390001204219186048
• NII論文ID: 130004090109
• NII論文ID: 10024847415
• NII書誌ID: AN00192102
• DOI: 10.11280/gee1973b.50.2816
• ISSN: 18845738
• ISSN: 03871207
• Web Site: https://search.jamas.or.jp/link/ui/2009042579
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可