 ESU2011にてご呈示した症例はこちらから
■ ESU2010にてご呈示した症例はこちらから ■
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■ ESU2009にてご呈示した症例はこちらから ■
-
■ ESU2008にてご呈示した症例はこちらから ■
| ■ 内 容 |
本研究会ではＥＳＤのみならずＮＢＩ、ＡＦＩ、拡大内視鏡などを駆使した最先端の内視鏡診断に関する Ｌｉｖｅ Ｄｅｍｏｎｓｔｒａｔｉｏｎ を行い、最新の診断手技、そしてＥＳＤのコツとポイントをお示し致します。
●ランチョンセミナー
演者：鶴田 修（久留米大学 消化器病センター） |
| ■ 司 会 |
| 土 山 寿 志 |
石川県立中央病院 消化器内科 |
| 田 辺 聡 |
北里大学東病院 消化器内科 |
| 堀 田 欣 一 |
静岡県立静岡がんセンター |
|
| ■ Guest Faculty |
| 大 森 泰 |
慶應義塾大学医学部 内視鏡センター |
| 藤 崎 順 子 |
癌研究会有明病院 |
| 鶴 田 修 |
久留米大学 消化器病センター |
|
| ■ 世 話 人 |
| 小 山 恒 男 |
佐久総合病院 胃腸科 |
| 小 野 裕 之 |
静岡県立静岡がんセンター 内視鏡科 |
| 矢 作 直 久 |
慶応義塾大学医学部 腫瘍センター |
| 山 本 博 徳 |
自治医科大学附属病院 光学医療センター |
| 豊 永 高 史 |
神戸大学 光学医療診療部 |
|
■ 受講のお申し込み
・事前登録参加費：￥１００００（医師）／￥５０００円（内視鏡技師）
・事前登録は、定員に達した時点で締め切らせていただきます。
なお、当日登録はございません。 |
|
| 事務局 |
（財）農村保健研修センター
ＴＥＬ：0267-82-5800 ＦＡＸ：0267-82-5801
E-Mail ： ecorh@valley.ne.jp |
| 共 催 |
・Ｅndo Skill Up-date
・オリンパスメディカルシステムズ株式会社
・エーザイ株式会社 |
09.03.2011
- Case Presentation at Endo Skill Up-date 2011 -
（画像クリックで拡大表示します） |
Case 1. A gastric depressed lesion.
A shallow depressed lesion was shown in the greater curvature
of the mid-gastric body. The demarcation of this lesion was
unclear in white light. NBI magnified endoscopy showed irregular
surface and vascular pattern. The demarcation was diagnosed
clearly by NBI magnified endoscopy. How do you diagnose this
lesion? |
| No.1 |
No.2 |
No.3 |
 |
 |
 |
Case 2. An esophageal depressed lesion..
A reddish shallow depressed lesion was shown on the left wall of
the middle esophagus. NBI endoscopy revealed a brownish area.
NBI magnified endoscopy showed irregular micro vascular pattern.
How do you diagnose this lesion? |
| No.1 |
No.2 |
No.3 |
 |
 |
 |
Case 3. A gastric depressed lesion.
A large shallow depressed lesion was found in the antrum. The
color of the lesion wasn`t homogeneous, and the margin of the
lesion was indistinct. NBI magnified endoscopy revealed irregular
villous or unclear surface pattern. And irregular vascular pattern
was observed in the unclear area. The size of the lesion is 2cm or
more. Therefore, diagnosis of the histology is important to decide
the treatment strategy. How do you diagnose this lesion? |
| No.1 |
No.2 |
No.3 |
 |
 |
 |
Case 4. A colonic flat elevated lesion.
A flat elevated lesion existed in the transverse colon. There
was a shallow depressed area with mucosal contraction in the
center part of the lesion. NBI magnified endoscopy revealed
irregular surface and vascular pattern. How do you diagnose this
lesion? Do you treat this lesion by EMR, ESD or Colectomy? |
| No.1 |
No.2 |
No.3 |
 |
 |
 |
09.13.2010
- Case Presentation at Endo Skill Up-date 2010 -
（画像クリックで拡大表示します） |
Case 1. Gastric ulcerative lesion.
A shallow ulcer was noted in the lesser curve of antrum. The shape was
slightly irregular. However, no IIc area was shown around the ulcer by
indigo carmine spray. A magnified endoscopy with NBI system showed slightly
irregular surface pattern in the posterior side of the ulcer. How do you
diagnose this lesion?
|
Case 2. Gastric depressed lesion.
A well demarcated shallow depressed lesion was shown in the cardia. The
shape was irregular and the color was red. NBI magnified endoscopy showed
irregular micro vascular pattern. It is a most difficult potion to perform
ESD. How will you diagnose and treat this lesion?
|
Case 3. Esophageal depressed lesion.
A shallow depressed lesion was noted in the middle esophagus. NBI endoscopy
revealed a brownish area. NBI magnified endoscopy showed irregular micro
vascular pattern. How do you diagnose this lesion?
|
Case 4. Esophageal protuberant lesion.A flat reddish lesion was noted in the middle esophagus. The center part
of the lesion showed SMT like protrusion. NBI magnified endoscopy revealed
irregular micro vascular pattern. IDUS showed iso-hypo echoic mass. The
key point of diagnosis is invasion depth. How do you diagnose this lesion?
|
Case 5. Rectal flat protuberant lesion
A flat white protuberant lesion was noted in the rectum. Magnified endoscopy
with indigo carmine spray showed atypical pit pattern, and that with NBI
showed atypical surface and vascular pattern. How do you diagnose this
lesion?
|
Case 6. Colonic double flat protuberant lesions
A flat protuberant lesion was noted in the transverse colon. The surface
was slightly irregular by indigo carmine spray. A protuberant lesion with
central depression was noted in the sigmoid colon. NBI magnified endoscopy
revealed irregular surface pattern. How do you diagnose those lesions?
Can to treat endoscopically?
|
09.05.2009
- Case Presentation at Endo Skill Up-date 200９ -
（画像クリックで拡大表示します） |
Case 1. Gastric flat lesion.
A reddish flat elevated lesion is noted in the mid-gastric body lesser
curve. The border is vague under White Light observation, but becomes clear
with Indigo carmine spray. What does NBI magnification show? What is your
histological diagnosis? How will you treat this lesion? |
| No.1 |
No.2 |
No.3 |
 |
 |
 |
| No.4 |
No.5 |
No.6 |
 |
 |
 |
Case 2. Colonic lesion..
A laterally spreading tumor is noted in the ascending colon against the
ileo-cecal valve.
Type IV pits are observed. What does NBI maginification show about hitological
type? Scope maneuverability is poor due to formation of gamma loop during
insertion. How will you treat this lesion? |
| No.1 |
No.2 |
No.3 |
 |
 |
 |
| No.4 |
No.5 |
No.6 |
 |
 |
 |
Case 3. Gastric depressed lesion.
A slightly reddish area with decreased vascular visibility is noted on
the posterior lesser curve in the lower gastric body. An ulcer scar is
suspected within the lesion. What does NBI show about histological type?
How will you treat this lesion? |
| No.1 |
No.2 |
No.3 |
 |
 |
 |
| No.4 |
No.5 |
No.6 |
 |
 |
 |
Case 4..
Esophageal depressed lesion.
A 1/2 circumferential reddish depressed lesion is noted on the left wall
of the distal esophagus. The lesion is unstained by iodine. What does NBI
magnification tell about the depth of this lesion? How will you treat this
lesion? |
| No.1 |
No.2 |
No.3 |
 |
 |
 |
| No.4 |
No.5 |
No.6 |
 |
 |
 |
Case 5. Esophageal depressed lesion.
A 1/3 circumferential reddish shallow depressed lesion is noted on the
posterior wall of the middlle esophagus. What does NBI magnification tell
about the depth of this lesion? |
| No.1 |
No.2 |
No.3 |
 |
 |
 |
08.26.2008
- Case Presentation at Endo Skill Up-date 2008 -
（画像クリックで拡大表示します） |
Case 1.
Gastric depressed lesion.
There are several depressed lesions in the antrum. One of them shows irregular
shape, but the border is unclear. Magnified endoscopy with NBI system showed
irregular micro-vessels. What is the diagnosis, and how do you treat this
lesion? |
Plane |
IC |
NBI |
Case 2.
Colon multiple lesions.
This patient has multiple protuberant lesions. The main lesion was a flat
protuberant lesion so called LST non-granular type. Type IIIs pits were
observed using magnified endoscopy. And we also observed lesions. What
is the diagnosis, and how do you treat those lesions? |
|
|
Case 3.
Gastric multiple lesions.
This patient has three lesions in the upper, middle and lower gastric body.
The surface of the lesions is smooth, but the shape is irregular. Are those
adenoma or adenocarcinoma? How do you diagnose them? |
| １ｓｔ |
２ｎｄ |
３ｒｄ |
 |
 |
 |
Case 4.
Esophageal lesion.
This patient has a shallow depressed lesion in the middle esophagus. Esophagoscopy
with NBI showed a well demarked brownish area. Irregular micro vessels
were observed by magnified endoscopy. What is the depth of invasion; LPM,
MM or sm1? |
Plane |
NBI |
Magni. |
|
