{"id":5613,"date":"2020-10-02T14:14:07","date_gmt":"2020-10-02T05:14:07","guid":{"rendered":"http:\/\/kohnan.or.jp\/kohnan\/?post_type=365real&#038;p=5613"},"modified":"2025-07-11T17:15:11","modified_gmt":"2025-07-11T08:15:11","slug":"ptegpoempoet","status":"publish","type":"365real","link":"https:\/\/kohnan.or.jp\/kohnan\/archives\/365real\/ptegpoempoet","title":{"rendered":"\u6d88\u5316\u5668\u5185\u79d1\u3088\u308aPTEG\u30fbPOEM\u30fbPOET\u306e\u3054\u7d39\u4ecb"},"content":{"rendered":"<p>\u7532\u5357\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u6d88\u5316\u5668\u5185\u79d1\u3067\u306f\u3001\u5185\u8996\u93e1\uff08\u80c3\u30ab\u30e1\u30e9\u30fb\u5927\u8178\u30ab\u30e1\u30e9\uff09\u3092\u7528\u3044\u305f\u304c\u3093\u306e\u65e9\u671f\u767a\u898b\u3084\u65e9\u671f\u6cbb\u7642\uff08ESD\u306a\u3069\uff09\u306b\u65e5\u3005\u53d6\u308a\u7d44\u3093\u3067\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u6700\u8fd1\u3067\u306f\u60a3\u8005\u3055\u3093\u3092\u60a9\u307e\u305b\u308b\u300c\u304c\u3093\u4ee5\u5916\u306e\u75c5\u6c17\u300d\u306b\u5bfe\u3057\u3066\u3082\u3001\u5b89\u5168\u3067\u8ca0\u62c5\u306e\u5c11\u306a\u3044\u69d8\u3005\u306a\u6cbb\u7642\u3092\u5c0e\u5165\u3057\u3066\u3044\u307e\u3059\u3002\u4ee5\u4e0b\u306b\u3054\u7d39\u4ecb\u3059\u308b3\u3064\u306e\u51e6\u7f6e\u306f\u3001\u3044\u305a\u308c\u3082\u6771\u7058\u533a\u306b\u9650\u3089\u305a\u770c\u5185\u3067\u3082\u5b9f\u65bd\u53ef\u80fd\u306a\u65bd\u8a2d\u306f\u3054\u304f\u308f\u305a\u304b\u3067\u3059\u304c\u3001\u5bfe\u8c61\u3068\u306a\u308b\u60a3\u8005\u3055\u3093\u306b\u3068\u3063\u3066\u306f\u975e\u5e38\u306b\u6709\u7528\u306a\u3082\u306e\u3067\u3042\u308a\u3001\u662f\u975e\u7686\u69d8\u306b\u5e83\u304f\u304a\u77e5\u3089\u305b\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4 class=\"mainTitle_2\">\u7d4c\u76ae\u7d4c\u98df\u9053\u80c3\u7ba1\u633f\u5165\u8853\uff08percutaneous trans-esophageal gastro-tubing\uff1aPTEG\uff09\u306b\u3064\u3044\u3066<\/h4>\n<p>PTEG\u3068\u306f\u9996\u306e\u4ed8\u3051\u6839\u304b\u3089\u98df\u9053\u3092\u901a\u3058\u3066\u80c3\u306b\u7d30\u3044\u30c1\u30e5\u30fc\u30d6\u3092\u5165\u308c\u308b\u65b9\u6cd5\u3067\u3059\u3002\u2460\u6804\u990a\u3068\u2461\u6e1b\u5727\uff08\u80c3\u3084\u5c0f\u8178\u306b\u6e9c\u307e\u3063\u305f\u6d88\u5316\u6db2\u3092\u4f53\u5916\u306b\u51fa\u3059\u3053\u3068\uff09\u306e2\u7a2e\u985e\u306e\u76ee\u7684\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u2460\u53e3\u304b\u3089\u98df\u4e8b\u3092\u6442\u53d6\u3067\u304d\u306a\u304f\u306a\u3063\u305f\u5834\u5408\u306b\u9f3b\u304b\u3089\u80c3\u306b\u7ba1\u3092\u5165\u308c\u305f\u308a\uff08\u7d4c\u9f3b\u80c3\u7ba1\uff09\u3001\u80c3\u763b\u3092\u9020\u8a2d\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u80c3\u5207\u9664\u5f8c\u306e\u65b9\u3084\u89e3\u5256\u5b66\u7684\u306a\u80c3\u306e\u4f4d\u7f6e\u3001\u69d8\u3005\u306a\u6761\u4ef6\u306b\u3088\u308a\u80c3\u763b\u3092\u9020\u8a2d\u3067\u304d\u306a\u3044\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002\u80c3\u763b\u304c\u9020\u8a2d\u3067\u304d\u306a\u3044\u5834\u5408\u306b\u6709\u52b9\u306a\u306e\u304cPTEG\u3067\u3059\u3002<\/p>\n<p>\u2461\u307e\u305f\u764c\u304c\u304a\u8179\u306e\u4e2d\u306b\u5e83\u304c\u3063\u3066\u3057\u307e\u3044\uff08\u764c\u6027\u8179\u819c\u708e\uff09\u3001\u80c3\u3084\u5c0f\u8178\u306b\u6d88\u5316\u6db2\u304c\u6e9c\u307e\u3063\u3066\u3057\u307e\u3063\u305f\uff08\u8178\u9589\u585e\uff09\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3066\u3082PTEG\u306f\u975e\u5e38\u306b\u6709\u52b9\u3067\u3059\u3002<strong>\u591a\u304f\u306e\u65b9\u3067\u304a\u7ca5\u3084\u6d41\u52d5\u98df\uff08\u8336\u7897\u84b8\u3057\u3001\u30d7\u30ea\u30f3\u306a\u3069\uff09\u306e\u6442\u53d6\u304c\u53ef\u80fd\u306b\u306a\u308a\u307e\u3059<\/strong>\uff08\u6442\u53d6\u5f8c\u306b\u30b7\u30ea\u30f3\u30b8\u3092\u7528\u3044\u3066\u5438\u5f15\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\uff09\u3002<\/p>\n<p>\u900f\u8996\u4e0b\u3067\u5185\u8996\u93e1\uff08\u80c3\u30ab\u30e1\u30e9\uff09\u3001\u30a8\u30b3\u30fc\u3092\u4f7f\u7528\u3057\u3066\u30c1\u30e5\u30fc\u30d6\u3092\u7559\u7f6e\u3057\u307e\u3059\u3002\u9020\u8a2d\u6642\u9593\u306f\u5e73\u5747\u306730\u5206\u7a0b\u5ea6\u3067\u3059\u3002<br \/>\nPTEG\u3092\u5b9f\u65bd\u53ef\u80fd\u306a\u65bd\u8a2d\u306f\u3001\u795e\u6238\u5e02\u5185\u306b\u306f\u3054\u304f\u5c11\u6570\u3057\u304b\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<ul class=\"ul2_1\">\n<li><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/pteg05.jpg\"><img loading=\"lazy\" decoding=\"async\" loading =\"lazy\" width=\"1024\" height=\"334\" class=\"aligncenter size-large wp-image-5663\" alt=\"\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/pteg05-1024x334.jpg\" \/><\/a><\/li>\n<li><\/li>\n<\/ul>\n<div class=\"box4-6\">\n<div class=\"lBox imgBox\"><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/tube01.jpg\"><img loading=\"lazy\" decoding=\"async\" loading =\"lazy\" width=\"1024\" height=\"388\" class=\"aligncenter size-large wp-image-5667\" alt=\"\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/tube01-1024x388.jpg\" \/><\/a><\/div>\n<div class=\"rBox\">\n<p>a)\u6804\u990a\u5264\u3092\u6ce8\u5165\u3059\u308b\u969b\u306b\u306f\u30c1\u30e5\u30fc\u30d6\u3092\u63a5\u7d9a\u3057\u307e\u3059\u304c\u3001\u53d6\u308a\u5916\u3059\u3068\u975e\u5e38\u306b\u30b3\u30f3\u30d1\u30af\u30c8\u3067\u3059<br \/>\nb)\u666e\u6bb5\u306f\u30b9\u30ab\u30fc\u30d5\u3092\u5dfb\u3044\u3066\u3044\u3089\u3063\u3057\u3083\u3044\u307e\u3059<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h5 class=\"mainTitle_4\"><span style=\"font-size: 18pt;\">\u3053\u3093\u306a\u8a00\u8449\u3092\u805e\u304d\u307e\u3057\u305f<\/span><\/h5>\n<p>\u300e\u9f3b\u306e\u7ba1\u304c\u629c\u3051\u3066\u3059\u3063\u304d\u308a\u3057\u305f\u308f\u30fc\u300f\u300e\u4e45\u3057\u3076\u308a\u306b\u6c34\u3092\u98f2\u3093\u3060\u3089\u307b\u3093\u3068\u306b\u304a\u3044\u3057\u304b\u3063\u305f\u3002\u9f3b\u306e\u7ba1\u306f\u98f2\u307f\u8fbc\u3082\u3046\u3068\u3059\u308b\u3068\u306e\u3069\u306b\u5f53\u305f\u3063\u3066\u75db\u304b\u3063\u305f\u304b\u3089\u3001\u98f2\u307f\u305f\u304f\u3066\u3082\u98f2\u3081\u3078\u3093\u304b\u3063\u305f\u300f\u300e\u3053\u3093\u306a\u306b\u697d\u306b\u306a\u308b\u3093\u3084\u3063\u305f\u3089\u3001\u3082\u3063\u3068\u65e9\u304f\u306b\u5165\u308c\u3066\u3082\u308d\u3068\u3044\u305f\u3089\u3088\u304b\u3063\u305f\u300f\uff08\u500b\u4eba\u306e\u611f\u60f3\u3067\u3059\uff09<\/p>\n<p>\u9f3b\u306b\u7ba1\u304c\u5165\u3063\u305f\u72b6\u614b\u304c\u9577\u671f\u306b\u7d9a\u304f\u3053\u3068\u306f\u975e\u5e38\u306b\u8f9b\u3044\u3082\u306e\u3067\u3059\u3002PTEG\u306b\u3088\u3063\u3066\u82e6\u75db\u304c\u548c\u3089\u3050\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<br \/>\n\u3069\u3046\u305e\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4 class=\"mainTitle_2\">\u7d4c\u53e3\u5185\u8996\u93e1\u7684\u7b4b\u5c64\u5207\u958b\u8853\uff08per-oral endoscopic myotomy: POEM\uff09\u306b\u3064\u3044\u3066<\/h4>\n<p>\u98df\u9053\u30a2\u30ab\u30e9\u30b7\u30a2\u306a\u3069\u306e\u98df\u9053\u904b\u52d5\u7570\u5e38\u306e\u60a3\u8005\u3055\u3093\u306f\u3001\u3064\u304b\u3048\u611f\u3084\u80f8\u75db\u3001\u5614\u5410\u306a\u3069\u306e\u75c7\u72b6\u304c\u306a\u304b\u306a\u304b\u6539\u5584\u305b\u305a\u3001\u9577\u671f\u306b\u6e21\u308a\u8f9b\u3044\u601d\u3044\u3092\u3055\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002\u7570\u5e38\u3092\u304d\u305f\u3057\u3066\u3044\u308b\u98df\u9053\u306e\u7b4b\u5c64\u3092\u5207\u958b\u3059\u308b\u3053\u3068\u3067\u3001\u98df\u4e8b\u3092\u30b9\u30e0\u30fc\u30ba\u306b\u6442\u53d6\u3067\u304d\u308b\u3088\u3046\u306b\u3059\u308b\u5185\u8996\u93e1\u6cbb\u7642\u304cPOEM\u3067\u3059\u3002<br \/>\n\u5f53\u9662\u3067\u306f2017\u5e749\u6708\u3088\u308a\u95a2\u897f\u30672\u756a\u76ee\u306bPOEM\u3092\u5c0e\u5165\u3044\u305f\u3057\u307e\u3057\u305f\u3002\u795e\u6238\u5927\u5b66\u3001\u662d\u548c\u5927\u5b66\u3067\u8853\u8005\u3068\u3057\u3066\u5341\u5206\u306a\u7d4c\u9a13\u3092\u7a4d\u3093\u3060\u5185\u8996\u93e1\u533b\u304cPOEM\u3092\u65bd\u884c\u3057\u3066\u304a\u308a\u3001\u826f\u597d\u306a\u6cbb\u7642\u6210\u7e3e\u3092\u4fdd\u3061\u60a3\u8005\u3055\u3093\u306b\u5927\u5909\u6e80\u8db3\u3044\u305f\u3060\u3044\u3066\u304a\u308a\u307e\u3059\u3002\u795e\u6238\u5927\u5b66\u75c5\u9662\u3068\u9023\u643a\u3057\u3001\u53b3\u5bc6\u306a\u8a3a\u65ad\u306e\u3046\u3048\u6cbb\u7642\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n<div class=\"box4-6\">\n<div class=\"lBox imgBox\"><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/poem04.jpg\"><img loading=\"lazy\" decoding=\"async\" loading =\"lazy\" width=\"1024\" height=\"455\" class=\"aligncenter size-large wp-image-5664\" alt=\"\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/poem04-1024x455.jpg\" \/><\/a><\/div>\n<div class=\"rBox\">\n<p>&nbsp;<\/p>\n<p>\u7b4b\u5c64\u3092\u5207\u958b\u3059\u308b\u3053\u3068\u3067\u3001\u4e0b\u90e8\u98df\u9053\u306b\u304a\u3051\u308b\u901a\u904e\u304c\u5927\u5e45\u306b\u6539\u5584\u3057\u3066\u3044\u307e\u3059.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h4 class=\"mainTitle_2\">\u7d4c\u53e3\u5185\u8996\u93e1\u7684\u816b\u760d\u6838\u51fa\u8853\uff08per-oral endoscopic tumor resection\uff1aPOET\uff09\u306b\u3064\u3044\u3066<\/h4>\n<p>POET\u3068\u306f\u3001\u98df\u9053\u3084\u98df\u9053\u80c3\u63a5\u5408\u90e8\u3001\u80c3\u5674\u9580\u90e8\u306e\u7c98\u819c\u4e0b\u816b\u760d\u3092\u6458\u51fa\u3059\u308b\u65b0\u3057\u3044\u4f4e\u4fb5\u8972\u306a\u5185\u8996\u93e1\u624b\u8853\u3067\u3059\u3002<\/p>\n<p><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/poet01.jpg\"><img loading=\"lazy\" decoding=\"async\" loading =\"lazy\" width=\"300\" height=\"169\" class=\"aligncenter size-medium wp-image-5628\" alt=\"\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/poet01-300x169.jpg\" srcset=\"https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/poet01-300x169.jpg 300w, https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/poet01.jpg 593w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u98df\u9053\u306e\u7c98\u819c\u4e0b\u816b\u760d\u306e\u591a\u304f\u306f\u826f\u6027\u3067\u3042\u308a\u7d4c\u904e\u89b3\u5bdf\u304c\u57fa\u672c\u3067\u3059\u304c\u3001\u30b5\u30a4\u30ba\u304c\u5927\u304d\u3044\u3082\u306e\u306f\u98df\u7269\u306e\u901a\u904e\u969c\u5bb3\u3092\u304d\u305f\u3059\u305f\u3081\u5207\u9664\u5bfe\u8c61\u3068\u306a\u308a\u307e\u3059\u3002<br \/>\n\u3053\u308c\u307e\u3067\u5207\u9664\u304c\u5fc5\u8981\u306a\u98df\u9053\u7c98\u819c\u4e0b\u816b\u760d\u306b\u5bfe\u3057\u3066\u306f\u3001\u5916\u79d1\u7684\u306a\u624b\u8853\u304c\u884c\u308f\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u8fd1\u5e74\u3001\u4e0a\u8a18POEM\u3092\u5fdc\u7528\u3057\u305f<strong>\u7d4c\u53e3\u5185\u8996\u93e1\u7684\u816b\u760d\u6838\u51fa\u8853\uff08per-oral endoscopic tumor resection :POET\uff09<\/strong>\u304c\u958b\u767a\u3055\u308c\u3001\u6709\u7528\u6027\u3068\u5b89\u5168\u6027\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u5229\u70b9\u3068\u3057\u3066\u306f\u4f53\u8868\u9762\u3092\u50b7\u3064\u3051\u308b\u3053\u3068\u304c\u306a\u304f\u3001\u5916\u79d1\u624b\u8853\u3088\u308a\u5927\u5e45\u306b\u8eab\u4f53\u3078\u306e\u8ca0\u62c5\u304c\u5c11\u306a\u3044\u3053\u3068\u3001\u65e9\u671f\u306b\u98df\u4e8b\u958b\u59cb\u304c\u53ef\u80fd\u3067\u3042\u308b\u3053\u3068\u3001\u8853\u5f8c\u306e\u72ed\u7a84\u30ea\u30b9\u30af\uff08\u72ed\u304f\u306a\u308a\u98df\u7269\u306e\u901a\u904e\u304c\u969c\u5bb3\u3055\u308c\u308b\u53ef\u80fd\u6027\uff09\u304c\u6975\u3081\u3066\u4f4e\u3044\u3053\u3068\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002<br \/>\n\u307e\u305f\u3001\u80c3\u306e\u7c98\u819c\u4e0b\u816b\u760d\u306b\u5bfe\u3057\u3066\u306f\u3001\u591a\u304f\u306e\u5834\u5408\u8ca0\u62c5\u306e\u5c11\u306a\u3044\u8179\u8154\u93e1\u5185\u8996\u93e1\u5408\u540c\u624b\u8853\uff08LECS\uff09\u304c\u6709\u7528\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u98df\u9053\u80c3\u63a5\u5408\u90e8\u3084\u5674\u9580\u90e8\u306b\u9650\u3063\u3066\u306f\u3001\u624b\u8853\u4e2d\u306e\u64cd\u4f5c\u6027\u306e\u60aa\u3055\u3084\u8853\u5f8c\u72ed\u7a84\u304c\u554f\u984c\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u90e8\u4f4d\u306e\u816b\u760d\u306b\u5bfe\u3057\u3066\u306f\u3001<span style=\"text-decoration: underline;\">POET\u306e\u65b9\u304c\u5b89\u5168\u78ba\u5b9f\u306b\u6cbb\u7642\u3067\u304d\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/span><br \/>\n\u5f53\u9662\u3067\u306fLECS\u3001POET\u3001\u3042\u308b\u3044\u306f\u305d\u306e\u4ed6\u306e\u8853\u5f0f\u3001\u3044\u305a\u308c\u304c\u9069\u5207\u304b\u3001\u5185\u79d1\u5916\u79d1\u3067\u5341\u5206\u306b\u5354\u8b70\u3057\u305f\u3046\u3048\u3067\u6700\u9069\u306a\u6cbb\u7642\u6cd5\u3092\u9078\u629e\u3059\u308b\u3088\u3046\u306b\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\nPOET\u306b\u95a2\u3057\u3066\u306f\u3001\u795e\u6238\u5e02\u30fb\u5175\u5eab\u770c\u3060\u3051\u3067\u306a\u304f\u95a2\u897f\u5168\u4f53\u306b\u304a\u3044\u3066\u3082\u65bd\u884c\u53ef\u80fd\u306a\u75c5\u9662\u306f\u307e\u3060\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u3002\u7532\u5357\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u3067\u306fESD\u3084POEM\u306e\u7d4c\u9a13\u3092\u6d3b\u304b\u3057\u3001\u5bfe\u8c61\u3068\u306a\u308b\u60a3\u8005\u69d8\u306b\u306f\u5341\u5206\u306a\u3054\u8aac\u660e\u306e\u3046\u3048\u81e8\u5e8a\u7814\u7a76\u3068\u3057\u3066POET\u3092\u5b9f\u65bd\u3057\u3066\u3044\u307e\u3059\u3002\u6cbb\u7642\u65b9\u91dd\u306b\u304a\u56f0\u308a\u306e\u969b\u306b\u306f\u3001\u662f\u975e\u3068\u3082\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n<div class=\"box4-6\">\n<div class=\"lBox imgBox\"><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/poet08.jpg\"><img loading=\"lazy\" decoding=\"async\" loading =\"lazy\" width=\"2759\" height=\"570\" class=\"aligncenter wp-image-5669 size-full\" alt=\"\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/10\/poet08.jpg\" \/><\/a><\/div>\n<div 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