腸結核の回盲部内視鏡像の検討―クローン病と対比して―

DOI

書誌事項

タイトル別名
  • ENDOSCOPIC FINDINGS OF TUBERCULOSIS THE ILEOCECAL REGION COMPARED TO THOSE CROHN'S DISEASE

この論文をさがす

説明

Endoscopic findings of tuberculosis (TB) the ileocecal region divided into each site of the cecum, Bauhin's valve and terminal ileum, were investigated in comparison with Crohn's disease (CD). The subjects consisted of 30 cases of TB (active type, 12 ; non-active type, 18) and 47 cases of CD. The sacculations in the cecum was noted only in 4% of CD cases, but in 33% of active TB cases. This finding was considered important for differen-tial diagnosis of both diseases. The ulcer form in the cecum was extremely varied in TB cases, and the diagnosis of TB with the aid of ulcer form alone was possible only in 3 out of 9 cases and was impossible in 6 other cases of TB. On the other hand, 12 out of 13 cases of CD had a cecal ulcer accompanied with cobble stone appearance, which resulted in relatively easy diagnosis of the disease. The Bauhin's valve insufficiency was seen in 2% of CD cases and in 58% of active TB cases ; this finding specific to TB had the highest diagnostic value. On the contrary, in some of CD cases, ulcers and inflammatry polyps were seen on the Bauhin's valve, and the stricture of Bauhin's valve due to inflammation was also observed. Thus, the findings on Bauhin's valve were contrasting between TB and CD, and seemed to reflect histopathological differences of both diseases. In the terminal ileum, the ulcers in an irregular form were frequently observed in both TB and CD cases, and there were few CD cases which had longitudinal ulcers or cobble stone appearance, It appeared that characteristics of both diseases were prone to be observed in the cecum rather than the terminal ileum. It was considered that careful examination of the respective findings on the cecum, Bauhin's valve and terminal ileum could lead to the definite diagnosis of TB in most cases, with resulting distinction from CD.

収録刊行物

詳細情報 詳細情報について

問題の指摘

ページトップへ