Journal of Okayama Medical Association
Published by Okayama Medical Association

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適応拡大前後における院内紹介例からみた小腸カプセル内視鏡施行内容の検討 : 院内への啓発活動にむけて

Kawano, Seiji Department of Gastroenterology and Hepatology, Okayama University Hospital
Iwamuro, Masaya Department of Gastroenterology and Hepatology, Okayama University Hospital
Inokuchi, Toshihiro Department of Gastroenterology and Hepatology, Okayama University Hospital
Sugihara, Yuusaku Department of Gastroenterology and Hepatology, Okayama University Hospital
Harada, Keita Department of Gastroenterology and Hepatology, Okayama University Hospital
Hiraoka, Sakiko Department of Gastroenterology and Hepatology, Okayama University Hospital
Okada, Hiroyuki Department of Gastroenterology and Hepatology, Okayama University Hospital
Abstract
Approximately 10 years have passed since video capsule endoscopy (VCE)was introduced in routine clinical practice in Japan. We started using VCE in January 2009. Here we investigated the contribution of VCE and its level of recognition at our 855-bed hospital. We compared the clinical characteristics of intra-hospital consultation cases with non-consultation cases, and the details of the cases from each of our hospital’s departments. The number of intra-hospital consultations was notably increased by our expansion of the indications for non-obscure gastrointestinal bleeding (OGIB)cases. However, most of our hospital’s departments are sub-departments of internal medicine, in which almost no change in indications has been made. We found that the percentage of OGIB cases was higher among the intra-hospital consultations than non-consultations, and that the OGIB percentages differed markedly among the departments. Especially for OGIB cases, all hospital departments should be better informed regarding the indications for and efficacy of VCE.
Keywords
カプセル内視鏡(video capsule endoscopy)
適応拡大(expansion of indication)
院内紹介(intra-hospital consultation)
Note
原著(Original)
ISSN
0030-1558
NCID
AN00032489
DOI
NAID