Impact of A Transparent Hood on The Performance and Therapeutic Result of Endoscopic Injection Sclerotherapy.

• 資料種別: 博士論文
• タイトル: Impact of A Transparent Hood on The Performance and Therapeutic Result of Endoscopic Injection Sclerotherapy.
• 著者・編者: Uejima, Masakazu; Matsumura, Masahiko; Umemoto, Norie; Yoshida, Motoyuki; Sawai, Masayoshi; Namisaki, Tadashi; Kitade, Mitsuteru; Kawaratani, Hideto; Takaya, Hiroaki; Aihara, Yosuke; Mitoro, Akira; Yoshiji, Hitoshi; Yamao, Junichi; Fukui, Hiroshi
• 著者標目: Uejima, Masakazu; Matsumura, Masahiko; Umemoto, Norie; Yoshida, Motoyuki; Sawai, Masayoshi; Namisaki, Tadashi; Kitade, Mitsuteru; Kawaratani, Hideto; Takaya, Hiroaki; Aihara, Yosuke; Mitoro, Akira; Yoshiji, Hitoshi; Yamao, Junichi; Fukui, Hiroshi
• 出版事項: 奈良医学会
• 出版年月日等: 2014-12-31
• 出版年（W3CDTF）: 2014-12-31
• 並列タイトル等: 内視鏡的硬化療法の手技と治療成績における透明フードの有用性
• タイトル（掲載誌）: AA11252383
• 巻号年月日等（掲載誌）: 65 4,5,6
• 掲載巻: 65
• 掲載号: 4,5,6
• 掲載ページ: 51-61
• ISSN（掲載誌）: ISSN : 1345-0069
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2015-11-27
• 報告番号: 乙第1365号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: Oblique transparent hood; Endoscopic injection sclerotherapy (EIS); Intravariceal injection; Variceal recurrence
• 対象利用者: 一般
• 一般注記: type:Thesis; Objective: Although the effectiveness of a transparent hood has been reported in various endoscopic procedures, there are only a few reports regarding the benefit of a transparent hood in endoscopic injection sclerotherapy(EIS). In the current study, we conducted a retrospective evaluation of the efficacy and long-term benefit of an oblique transparent hood on EIS. Methods: The transparent hood, manufactured by Olympus (MAJ295 or MAJ296), consisted of a reusable wide oblique distal attachment with rim. This hood was attached when the varix was fine (F0 or F1). In this retrospective study, a total of 201 patients were recruited, and 99 patients (designated as the "Hood Group") received this hood while 102 patients (designated as the "Conventional Group") did not. We compared the rate of intravariceal injection, enhanced supply vessels, variceal eradication, and recurrence between these two groups. Results: This transparent hood provided a better visual field, and there was no serious complication in any of the patients. Intravariceal injection rates in the Hood Group and Conventional Group were 73.9% (190/257) and 57.7% (146/253) respectively (p<0.01). The rates of enhanced supply vessels in the Hood Group and Conventional Group were 89.8% (89/99) and 72.5% (74/102) respectively (p<0.01). The rates of variceal eradication did not differ significantly. We also assessed the cumulative non-recurrence probability for up to 3000 days between the two groups. The Hood Group was statistically superior to the Conventional Group (p<0.01) Conclusion: The application of an oblique transparent hood method is safe and effective for intravariceal EIS. This hood contributes especially to reduction of the long-term recurrence probability.; 博士（医学）・乙第1365号・平成27年11月27日; identifier:Journal of Nara Medical Association Vol.65 No.4,5,6 p.51-61; identifier:13450069; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3083; identifier:AA11252383, 65(4,5,6): 51-61
• オンライン閲覧公開範囲: インターネット公開
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3083/4/01_%e4%b9%991365%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3083/5/02_%e4%b9%991365%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3083/1/03%e4%b9%991365%e6%9c%ac%e6%96%87.pdf fulltext