Colonoscopic interpretation:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Tokyo [u.a.]
Igaku-Shoin
1998
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | 301 S. zahlr. Ill. |
| ISBN: | 4260143476 |
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| 100 | 1 | |a Nagasako, Kou |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Colonoscopic interpretation |c Kou Nagasako |
| 264 | 1 | |a Tokyo [u.a.] |b Igaku-Shoin |c 1998 | |
| 300 | |a 301 S. |b zahlr. Ill. | ||
| 336 | |b txt |2 rdacontent | ||
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| 650 | 4 | |a Colon (Anatomy) |x Cancer | |
| 650 | 4 | |a Colon (Anatomy) |x Diseases |x Diagnosis | |
| 650 | 4 | |a Colonic Diseases |x diagnosis | |
| 650 | 4 | |a Colonoscopy | |
| 650 | 4 | |a Colorectal Neoplasms | |
| 650 | 4 | |a Rectal Diseases |x diagnosis | |
| 650 | 4 | |a Rectum |x Diseases |x Diagnosis | |
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| 999 | |a oai:aleph.bib-bvb.de:BVB01-009097329 | ||
Datensatz im Suchindex
| _version_ | 1804128114694946816 |
|---|---|
| adam_text | Contents
1. Introduction 1
ADVANTAGES AND DISADVANTAGES OF COLONOSCOPY 1
INDICATIONS FOR COLONOSCOPY 2
Indications in General 2
Indications for Colorectal Tumors 2
SCREENING COLONOSCOPY FOR AVERAGE RISK SUBJECTS 3
Fecal Occult Blood Test (FOBT) 3
High Risk Group 3
Diagnostic Tests 4
SURVEILLANCE COLONOSCOPY 4
Methods of Surveillance 4
Risk of Cancers and Adenomas After Polypectomy 4
Is Colonoscopic Surveillance Effective? 5
Interval of Surveillance Colonoscopy 5
CONTRAINDICATIONS, COMPLICATIONS AND HAZARDS 6
Complications Accompanying Bowel Preparation and Premedication 6
Bacteremia, Viremia 6
Complications During Diagnostic Colonoscopy 6
SPECIAL PROBLEMS OF AGE 7
Pediatric Colonoscopy 7
Colonoscopy for Those Over 80 7
SPECIAL PROBLEMS ON THE SEGMENT OF THE LARGE INTESTINE 7
Parts of the Large Intestine 7
Surface Appearance 11
References 12
TYimors
2. Colonoscopic Characteristics of Tumors: Differential Diagnosis 17
MORPHOLOGICAL CLASSIFICATION OF COLON TUMORS 17
Pedunculated Polyp 18
Sessile Tumor (Polyp) 20
Ordinary Sessile Tumor 20
Sessile Tumor Formed by the Collapse of Pedunculated Cancer 22
Sessile Tumor Originated as Flat Early Cancer 22
Submucosal Tumor 22
Large Sessile Tumor 22
Flat Neoplasms 23
Superficially Spreading Tumor 24
Ulcerated Tumor 24
Diffuse Neoplastic Lesions 25
8 Contents
DIFFERENTIATION ACCORDING TO THE SURFACE APPEARANCE 25
Whether a Tumor is Covered by Normal Mucosa or Not 25
Color 25
Whether a Tumor is Lobulated or Not 26
Expansive Impression 26
Depression 27
Depression due to the Collapse (Erosion, Ulcer) 27
Flat Neoplasms 27
Depression Not due to Collapse 27
3. Polyp and Polyposis 28
POLYP 28
Adenoma (Adenomatous Polyp) 28
Histological Types of Adenoma 28
Adenoma Carcinoma Sequence 30
Natural History of Adenoma 30
Distribution of Adenomas 31
Size 31
Multiplicity 31
Colonoscopy 32
Serrated Gland Adenoma 34
Hyperplastic Polyp 35
Importance of Hyperplastic Polyp 36
Size and Shape of Hyperplastic Polyps 36
Distribution 36
Colonoscopic Appearance 37
Diagnosis of Small Polyps 38
Juvenile Polyp 38
Peutz Jeghers Polyp 39
Inflammatory Polyp 40
Other Polyps 41
POLYPOSIS 42
Adenomatosis Coli (Familial Polyposis Coli) 43
Juvenile Polyposis 47
Cronkhite Canada Syndrome 48
Cowden s Disease (Multiple Hamartoma Syndrome) 49
Differential Diagnosis 51
von Recklinghausen s Disease (Ncurofibromatosis) 51
Inflammatory Polyposis 51
Lymphoid Hyperplasia 52
Pneumatosis Cystoides Intestinalis (PCI) 52
References 52
4. Polypoid Early Invasive Cancer 56
Historical Background 56
Evolution of Pedunculated Early Cancer 56
Evolution of Sessile Early Cancer 58
Contents 9
Colonoscopic Diagnosis of the Depth of Invasion 63
Pedunculated Polyp 63
Sessile Polyp 64
Illustrative Cases 65
Treatment and Prognosis 67
Indication for Endoscopic Resection 67
Indication for Additional Colon Resection after Polypectomy 67
References 69
5. Horizontally Growing Neoplasms: (1) Flat Neoplasm 71
Definition of Flat Neoplasms 71
Historical Background 73
Detection of Flat Neoplasms 74
Why the Detection of Flat Neoplasms is Difficult? 74
Findings to be Accounted Much 75
Ability of Concentration and Sophisticated Colonoscope 75
Ideal Colonoscopy to Detect Flat Lesions 76
Indirect Signs of Flat Neoplasms 76
White Spots 77
Loss of the Vascular Pattern 78
Indentation 79
Converging folds 80
Hemorrhage 80
Good Use of Peristalsis and Volume of Air 80
Multi Directional Observation 81
Chromoendoscopy (Dye Scattered Picture) 81
Colonoscopic Appearance 81
Classification of Flat Neoplasm 81
Shape 82
Color 84
Surface Pattern 84
Zig Zag Pattern (ZZP) 89
Colonoscopic Diagnosis of the Depth of Invasion 90
Growth and Development of Flat Neoplasms 95
Adenomas 95
Cancer 96
Large Flat Cancers 97
Evolution of Flat Cancer to Ulcerated Cancer 102
Importance of Zig Zag Pattern (ZZP) 104
Differential Diagnosis of Flat Neoplasms 105
Depressed Cancer of Nonhorizontal Growth 105
Hyperplastic Polyp 107
Nonneoplastic Lesions 107
Therapy of Flat Neoplasms 110
Oncogenic Characteristics of Flat Neoplasms I 12
References 115
10 Contents
6. Horizontally Growing Neoplasms: (2) Superficially Spreading Neoplasms 117
Creeping Tumor 117
Definition 117
Clinical Data 117
Natural History 118
Colonoscopic Findings 118
Nodule Aggregated Tumor 119
Definition 119
Clinical Data 119
Natural History 121
Colonoscopic Findings 122
Biopsy 122
Villous Tumor 122
Definition 123
Clinical Data 126
Location 126
Natural History 126
Colonoscopic Findings 126
Biopsy 127
Treatment of Superficially Spreading Neoplasms 127
References 128
7. Colorectal Cancer 130
Pathological Features 130
Age, Sex and Site Distribution 130
Multiplicity 131
Colonoscopy 131
Polypoid Cancer 132
Ulcerated (Crateriform) Cancer 133
Diffuse Cancer 136
Mucinous Cancer 137
Biopsy 138
Recurrence 138
Secondary Malignancies 140
Direct Invasion from Adjacent Organs 140
Prostatic Cancer 140
Ovarian Cancer 140
Others 141
Metastatic Lesions to the Large Intestine 141
Peritonitis Carcinomatosa 141
Differential Diagnosis of Colorectal Cancer 141
Secondary Tumors and Endometriosis 141
Sarcomas and Carcinoids 142
Stenotic Conditions 142
Mass Lesions 143
Inflammation of Neighboring Organs 143
Malignant Melanoma 144
Contents 11
References 145
8. Tumors Covered by Intact Mucosa 147
Submucosal Tumors 147
Smooth Muscle Tumors 147
Lipoma 148
Benign Lymphoid Polyp (Rectal Tonsil) 150
Lymphangioma 151
Hemangioma 151
Neurogenic Tumors 152
Granular Cell Tumor (Granular Cell Myoblastoma) 153
Pneumatosis Cystoides Intestinalis (Pneumatosis Coli, Gas Cysts of the Colon) 153
Carcinoid 155
Endometriosis 157
Inflammatory Fibrous Polyp 158
Mesenteric Panniculitis 160
Endoscopic Ultrasonography (EUS) 160
Differential Diagnosis 161
References 162
9. Malignant Lymphoma 166
Clinical Features 166
Macroscopic Findings 166
Colonoscopic Findings 167
Polypoid Lymphoma 167
Ulcerated Lymphoma 168
Thickening of the Wall (Brain Convolution like Lesion, or Giant Folds Type) 168
Multiple Lymphomatous Polyposis (MLP) 169
Colitis like Lymphomas (Lymphomatous Colitis) 170
Secondary Lymphoma 171
Biopsy 171
Differential Diagnosis 171
References 171
Inflammatory Bowel Diseases and Others
10. Colonoscopic Characteristics of Inflammatory Bowel Diseases 175
Indications and Contraindications for Colonoscopy 175
Indications 175
Contraindications 176
Diagnosis in General 176
Principle of the Diagnosis of Colitis 177
Conditions Mainly Involving the Rectum 178
Diffuse Segmental Colitis 179
Colitis Composed Mainly of Discrete Ulcers 179
Characteristics of Individual Findings 181
12 Contents
Aphthous Ulcers 181
Longitudinal Ulcers 183
Circular Ulcers 184
Discrete Ulcers on the Ileocecal Valve 185
Cobblestone Appearance (Cobblestoning) 185
Pseudomembranous Colitis 186
Inflammatory Polyposis 186
Inflammatory Diverticulosis, Sacculation 187
Stricture 188
Fistula 189
Colonoscopic Biopsy 189
References 190
11. Ulcerative Colitis and Colitic Cancer 191
ULCERATIVE COLITIS 191
Clinical Features 191
Pathologic Features 191
Diagnosis of Ulcerative Col itis 191
Colonoscopy 191
Significant Findings for the Diagnosis 192
Colonoscopic Findings 193
Active Stage 193
Healing Stage 195
Quiescent (Healed) Stage 196
Other Specific Findings 196
Inflammatory Polyposis 196
Inflammatory Diverticulosis 197
Stricture 197
Extent of Involvement 198
Heal Involvement in Ulcerative Colitis 199
Factors Affecting the Endoscopic Appearance 199
Biopsy 199
COLITIC CANCER AND DYSPLASIA 200
Pathology of Colitic Cancer 200
Dysplasia (Precancerous Mucosal Change) 202
Colonoscopic Findings 202
Advanced Cancer 202
Early Cancers and Dysplasia 203
Biopsy 207
Other Findings Complicating Longstanding Colitis 209
Surveillance 210
References 212
12. Crohn s Disease 215
Clinical Features 215
Morphologic Features 215
Diagnosis of Crohn s Disease 216
Contents 13
Clinical Diagnosis 216
Radiological Study 216
Endoscopy (Ileo Colonoscopy) 216
Endoscopic Appearance 217
Early Lesions (Aphthous Ulcers) 217
Evolution of Ulcers 219
Cobblestoning 220
Stenosis, Stricture 222
Fissures, Fistulae 222
Healed Lesion and Inflammatory Polyposis 224
Differential Diagnosis 225
Upper Gastrointestinal Lesions 225
Postoperative Follow up 226
Therapeutic Use of Endoscopy 227
Biopsy 227
References 227
13. Acute Colitis 230
Ischemic Colitis 230
Definition 230
Macroscopic Findings 230
Diagnosis 230
Colonoscopy 231
Acute Stage 233
Subacute Stage 233
Chronic Stage 234
Drug Associated Colitis 235
Pseudomembranous Colitis (Clostridium Difficile Colitis) 235
Acute Hemorrhagic Colitis (AHC) 236
Colitis Associated with Mefenamic Acid 237
Infectious Colitis: Bacterial Infections 237 243
Shigellosis (Bacillary Dysentery) 238
Salmonellosis 239
Salmonella Enterocolilis 239
Typhoid Fever 240
Vibrio Parahemolyticus Hnterocolitis 240
Campylobactcr Enterocolitis 241
Yersinia Hnterocolitis 241
Enterohemorrhagic Hscherichia Coli Colitis 242
Other Bacterial Infections 242
Biopsy Study of Acute Self Limited Colitis 242
Parasitic. Fungal and Viral Infections 243
Amebic Colitis (Amebiasis) 243
Colonoscopic Findings 243
Differential Diagnosis 244
Ameboma 244
Biopsy and Cytology 245
14 Contents
Balantidial Colitis 245
Schistosomiasis (Bilharziasis) 245
Anisakiasis 247
Cryptosporidiosis 247
Fungal Infections 247
Viral Colitis 248
Cytomegalovirus Colitis 248
Acute Diarrheal Disease Caused by Viruses 248
Henoch Schonlein Purpura 248
References 249
14. Other Inflammatory Diseases 252
Intestinal Tuberculosis 252
Clinical Features and Frequent Sites of Involvement 252
Macroscopic Features 252
Diagnosis 253
Colonoscopic Findings 253
Biopsy 256
Differential Diagnosis from Crohn s Disease 256
Simple Ulcer and Intestinal Behget s Disease 257
Clinical Signs 258
Simple Ulcer 258
Behcet s Disease 258
Morphology 258
Diagnosis 259
Colonoscopic Findings 259
Differential Diagnosis 259
Mucosal Prolapse Syndrome 262
Clinical Features 262
Pathological Features 262
Colonoscopic Findings 262
Ulcerated Lesions 262
Nonulcerated Lesions 263
Polyposis 264
Colitis Cystica Profunda 264
Biopsy 265
Differential Diagnosis 265
Radiation Proctitis 266
Colonoscopic Findings 266
Biopsy 267
Acute Hemorrhagic Rectal Ulcers 267
Ulcers Caused by Mechanical Trauma 269
Enteric Graft vs Host Disease (GVHD) 269
Eosinophilic Gastroenteritis 270
Collagenous Colitis 270
Intestinal Involvements by Collagen Disease 270
Progressive Systemic Sclerosis (Scleroderma) 271
Contents 15
Systemic Lupus Erythematosus 271
Periarteritis Nodosa (Polyarteritis Nodosa) 271
Rheumatoid Arthritis 272
Acquired Immunodeficiency Syndrome (AIDS) 272
Cytomegalovirus 272
Protozoa 273
Kaposi s Sarcoma 273
Gay Bowel Syndrome 274
Gonorrhea 274
Syphilis 274
Lymphogranuloma Venerum 274
Herpes Simplex 274
Fungal Disease 274
Histoplasmosis 274
Actinomycosis 275
References 275
15. Miscellaneous Conditions 280
Diverticular Disease 280
Diverticulosis 280
Inverted Diverticulum (Rolled Back Diverticulum) 283
Diverticulitis 283
Diverticular Disease and Cancer 284
Diverticulitis and Crohn s Colitis 284
Vascular Disorders 284
Angiodysplasia (Vascular Ectasia) 284
Clinical Features 284
Pathology 285
Diagnosis 285
Colonoscopy 285
Endoscopic Treatment 286
Portal Hypertensive Colopathy 286
Amyloidosis 287
Melanosis Coli 289
Malakoplakia 291
References 291
Index 295
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| indexdate | 2024-07-09T18:44:06Z |
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| isbn | 4260143476 |
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| spelling | Nagasako, Kou Verfasser aut Colonoscopic interpretation Kou Nagasako Tokyo [u.a.] Igaku-Shoin 1998 301 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Colon (Anatomy) Cancer Colon (Anatomy) Diseases Diagnosis Colonic Diseases diagnosis Colonoscopy Colorectal Neoplasms Rectal Diseases diagnosis Rectum Diseases Diagnosis HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009097329&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Nagasako, Kou Colonoscopic interpretation Colon (Anatomy) Cancer Colon (Anatomy) Diseases Diagnosis Colonic Diseases diagnosis Colonoscopy Colorectal Neoplasms Rectal Diseases diagnosis Rectum Diseases Diagnosis |
| title | Colonoscopic interpretation |
| title_auth | Colonoscopic interpretation |
| title_exact_search | Colonoscopic interpretation |
| title_full | Colonoscopic interpretation Kou Nagasako |
| title_fullStr | Colonoscopic interpretation Kou Nagasako |
| title_full_unstemmed | Colonoscopic interpretation Kou Nagasako |
| title_short | Colonoscopic interpretation |
| title_sort | colonoscopic interpretation |
| topic | Colon (Anatomy) Cancer Colon (Anatomy) Diseases Diagnosis Colonic Diseases diagnosis Colonoscopy Colorectal Neoplasms Rectal Diseases diagnosis Rectum Diseases Diagnosis |
| topic_facet | Colon (Anatomy) Cancer Colon (Anatomy) Diseases Diagnosis Colonic Diseases diagnosis Colonoscopy Colorectal Neoplasms Rectal Diseases diagnosis Rectum Diseases Diagnosis |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009097329&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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