Navigating GI Management in LDS
45:06-46:21
Q:
This question is about planning an endoscopy and a colonoscopy. If you see evidence of IBD on an endoscopy alone, would you see that or do you need a colonoscopy to take a look at that?
胃や大腸の内視鏡検査についての質問です。胃カメラのみで炎症性腸疾患（IBD）が判明した場合、大腸内視鏡検査も行いますか？
A:
So, the two types of inflammatory bowel disease, one is called ulcerative colitis, the other is called Crohn's disease. Ulcerative colitis only affects the large intestines, so that would only be seen on a colonoscopy. Crohn's disease can affect any part of the intestinal tract. It can affect from the esophagus to the stomach to the small intestines to the large intestines or colon.
まずIBDには、潰瘍性大腸炎とクローン病の二種類あります。潰瘍性大腸炎は大腸でのみ起こりますので、確認できるのは大腸内視鏡です。クローン病は腸管のどの部位でも起こる可能性があり、食道から胃、小腸、大腸、直腸で起こり得ます。
So you can see evidence of Crohn's disease on an upper endoscopy only. However, it is much more common to see evidence of Crohn's disease on a colonoscopy. And so if I were considering whether or not someone had Crohn's disease, I would schedule them for an endoscopy and a colonoscopy, which you can do typically during the same anesthesia.
クローン病の所見は上部内視鏡だけで見つけることができますが、一般的には大腸内視鏡も使って確認します。クローン病の診断では、私であれば上部内視鏡と大腸内視鏡を行います。この場合、一度の麻酔で両方の内視鏡検査をするのが一般的です。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
