藤が丘病院における消化器内視鏡検査の現況と将来の展望

概要

論文の詳細を見る
We have carried out 2371 examinations of digestive endoscopy during one year, from January 1976 at SHOWA UNIVERSITY, FUJIGAOKA HOSPITAL. Digestive endoscopy which includes diagnosis and treatment of all gastrointestinal tract, pancreato-biliary tract, was applied in a frequency of 1, 44% for the whole patients with increasing indications. Early gastric carcinoma was practically detected in 10 cases (37%) out of 27 resected gastric carcinoma. Regarding to malignancy detection, confirmation was made as follows ; esophageal carcinoma 13, gastric carcinoma 89, gall blader carcinoma 3, liver tumor 2, pancreatic carcioma 2 and colonic carcinoma 11, Attractive endoscopic surgery has been in practice, in which polypectomy, papillotomy and resection of sub-mucosal tumor of the stomach were easily performed without severe complications. Proposal of supervision and follow-up study is extremely valuable as well as an endoscopic technique, which has been completed by the aid of office-workers. Further development of digestive endoscopy will be accomplished by the efforts of young persons to change old impossibility to new possibility.