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  1. C100 医学部/医学系研究科
  2. C100b 刊行物
  3. Nagoya journal of medical science
  4. 80(1)

Clinical significance of gastrointestinal patency evaluation by using patency capsule in Crohn’s disease

https://doi.org/10.18999/nagjms.80.1.121
https://doi.org/10.18999/nagjms.80.1.121
bd6b51b5-64e4-48df-823f-709e6b6cbe8d
名前 / ファイル ライセンス アクション
13_Yoshimura.pdf 13_Yoshimura (423.9 kB)
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Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2018-03-19
タイトル
タイトル Clinical significance of gastrointestinal patency evaluation by using patency capsule in Crohn’s disease
言語 en
著者 Yoshimura, Toru

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en Yoshimura, Toru

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Hirooka, Yoshiki

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Nakamura, Masanao

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Watanabe, Osamu

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en Watanabe, Osamu

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Yamamura, Takeshi

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Matsushita, Masanobu

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Ishikawa, Takuya

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Furukawa, Kazuhiro

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Funasaka, Kohei

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Ohno, Eizaburo

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Kawashima, Hiroki

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Miyahara, Ryoji

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Goto, Hidemi

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報Resource http://creativecommons.org/licenses/by-nc-nd/4.0/
権利情報 Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
キーワード
主題Scheme Other
主題 capsule endoscopy
キーワード
主題Scheme Other
主題 patency
キーワード
主題Scheme Other
主題 Crohn’s disease
キーワード
主題Scheme Other
主題 small bowel
抄録
内容記述タイプ Abstract
内容記述 Capsule endoscopy (CE) enables noninvasive visualization of the small bowel in Crohn’s disease (CD), but should not be conducted in patients with bowel obstruction. Patency capsule (PC) can be ingested before conducting the CE examination to ensure patency of the gastrointestinal (GI) tract. This study aimed to evaluate the clinical significance of GI patency which the PC demonstrated. A retrospective review of the medical records was conducted with 99 consecutive patients with CD who underwent PC and CE at Nagoya University Hospital from January 2010 to May 2015. By using the Cox proportional hazards model, the association between the GI patency evaluated using the PC and the outcome in terms of the rate of patients who needed admission or surgery during the 2-year follow-up was examined. Of all 99 patients who ingested the PC, 84 (84.8%) were diagnosed as not having bowel obstruction, and therefore were eligible for CE (P group). Of the 15 patients in whom bowel obstruction was suspected (NP group), 12 patients underwent either the balloon-assisted endoscopy (n=10) or enteroclysis (n=2), and 11 were confirmed to have small bowel stricture. Non-admission rates of the P and NP groups during the 2-year observation period were 74/84 (88.0%) and 8/15 (53.3%), respectively (P<0.001). Non-operation rates of the P and NP groups during the 2-year observation period were 80/84 (95.2%) and 9/15 (60.0%), respectively (P<0.001). In conclusion, GI patency as diagnosed using the PC was associated with a significantly lower incidence of admission or surgical intervention.
言語 en
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語 en
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
ID登録
ID登録 10.18999/nagjms.80.1.121
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/801.html
ISSN(print)
収録物識別子タイプ PISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ EISSN
収録物識別子 2186-3326
書誌情報 en : Nagoya Journal of Medical Science

巻 80, 号 1, p. 121-128, 発行日 2018-02
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