{"id":1115,"date":"2019-07-26T15:14:25","date_gmt":"2019-07-26T06:14:25","guid":{"rendered":"http:\/\/kohnan.or.jp\/kohnan\/?page_id=1115"},"modified":"2025-10-09T18:22:11","modified_gmt":"2025-10-09T09:22:11","slug":"disease","status":"publish","type":"page","link":"https:\/\/kohnan.or.jp\/kohnan\/department\/internal\/gastroenterology\/disease","title":{"rendered":"\u75c5\u6c17\u30fb\u6cbb\u7642\u30fb\u691c\u67fb"},"content":{"rendered":"<h3 class=\"mainTitle_1\">1\uff09\u6d88\u5316\u7ba1\u75be\u60a3<\/h3>\n<h4 class=\"mainTitle_2\">\u5185\u8996\u93e1\u691c\u67fb\uff08\u80c3\u30ab\u30e1\u30e9\u30fb\u5927\u8178\u30ab\u30e1\u30e9\uff09<\/h4>\n<h5 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class=\"mainTitle_4\">\u7d4c\u53e3\u5185\u8996\u93e1\u7684\u7b4b\u5c64\u5207\u958b\u8853\uff08POEM\uff09\u3092\u95a2\u897f\u30672\u756a\u76ee\u306b\u5c0e\u5165<\/h5>\n<p>2017\u5e749\u6708\u3088\u308a\u3001\u30a2\u30ab\u30e9\u30b7\u30a2\u306a\u3069\u306e\u98df\u9053\u904b\u52d5\u969c\u5bb3\u306b\u5bfe\u3059\u308bPOEM\u3092\u95a2\u897f\u30672\u756a\u76ee\u306b\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\u69d8\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<ul class=\"ul3_1\" data-wp-editing=\"1\">\n<li><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka001.jpg\"><img decoding=\"async\" loading=\"lazy\" width=\"300\" height=\"255\" class=\"alignnone size-medium wp-image-4680\" alt=\"\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka001-300x255.jpg\" srcset=\"https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka001-300x255.jpg 300w, https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka001.jpg 503w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/kohnan\/wp-content\/themes\/kohnan\/web_parts\/img\/test\/img01.jpg\"><\/a><\/li>\n<li><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka002.jpg\"><img decoding=\"async\" loading=\"lazy\" width=\"300\" height=\"257\" class=\"alignnone size-medium wp-image-4681\" alt=\"\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka002-300x257.jpg\" srcset=\"https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka002-300x257.jpg 300w, https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka002-768x658.jpg 768w, https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka002.jpg 792w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka003.jpg\"><\/a><\/li>\n<li><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka003.jpg\"><img decoding=\"async\" loading=\"lazy\" width=\"300\" height=\"262\" class=\"alignnone size-medium wp-image-4682\" alt=\"\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka003-300x262.jpg\" srcset=\"https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka003-300x262.jpg 300w, https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka003-768x670.jpg 768w, https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka003.jpg 791w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/aka002.jpg\"><\/a><\/li>\n<\/ul>\n<h4 class=\"mainTitle_2\">\u7c98\u819c\u4e0b\u816b\u760d<\/h4>\n<h5 class=\"mainTitle_4\">\u8d85\u97f3\u6ce2\u5185\u8996\u93e1\u4e0b\u7a7f\u523a\u5438\u5f15\u7d30\u80de\u8a3a\uff08EUS-FNA\uff09\u3084\u7c98\u819c\u5207\u958b\u751f\u691c\u306b\u3088\u308b\u78ba\u5b9f\u306a\u8a3a\u65ad\u3068\u8179\u8154\u93e1\u5185\u8996\u93e1\u5408\u540c\u624b\u8853\uff08LECS\uff09\u306a\u3069\u306e\u4f4e\u4fb5\u8972\u6cbb\u7642<\/h5>\n<p>\u7c98\u819c\u4e0b\u816b\u760d\u306f\u5c0f\u3055\u3051\u308c\u3070\u7d4c\u904e\u89b3\u5bdf\u304c\u53ef\u80fd\u3067\u3059\u304c\u3001\u5927\u304d\u304f\u306a\u308b\u3068\u826f\u6027\u304b\u60aa\u6027\u304b\u306e\u5224\u65ad\u304c\u91cd\u8981\u3068\u306a\u308a\u3001\u3082\u3057\u60aa\u6027\uff08GIST\uff09\u3067\u3042\u308c\u3070\u624b\u8853\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002\u5f93\u6765\u751f\u691c\u3067\u306f\u8a3a\u65ad\u304c\u56f0\u96e3\u3067\u3057\u305f\u304c\u3001\u5f53\u79d1\u3067\u306fEUS-FNA\u3084\u7c98\u819c\u5207\u958b\u751f\u691c\uff08\u81e8\u5e8a\u7814\u7a76\u3068\u3057\u3066\u5b9f\u65bd\uff09\u306b\u3088\u308a\u78ba\u5b9f\u306b\u8a3a\u65ad\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002\u624b\u8853\u306e\u969b\u306b\u306f\u5916\u79d1\u3068\u5354\u529b\u3057\u3001\u8179\u8154\u93e1\u5185\u8996\u93e1\u5408\u540c\u624b\u8853\uff08LECS\uff09\u306a\u3069\u3001\u60a3\u8005\u69d8\u306e\u8eab\u4f53\u7684\u8ca0\u62c5\u3092\u6700\u5c0f\u9650\u306b\u6291\u3048\u305f\u6cbb\u7642\u3092\u63d0\u4f9b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<h5 class=\"mainTitle_4\">\u7d4c\u53e3\u5185\u8996\u93e1\u7684\u816b\u760d\u6838\u51fa\u8853\uff08POET\uff09\u306b\u3064\u3044\u3066<\/h5>\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 class=\"linkList link_gaibu\" href=\"https:\/\/kohnan.or.jp\/kohnan\/archives\/365real\/ptegpoempoet\" target=\"_blank\" rel=\"noopener noreferrer\">POET\u306b\u3064\u3044\u3066\u306e\u8a73\u7d30\u306f\u3053\u3061\u3089\u3092\u3054\u89a7\u304f\u3060\u3055\u3044<\/a><\/p>\n<h4>\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\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<\/h4>\n<div id=\"attachment_6404\" style=\"width: 863px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" aria-describedby=\"caption-attachment-6404\" loading=\"lazy\" width=\"853\" height=\"701\" class=\"wp-image-6404 size-full\" alt=\"POET\u306b\u3088\u308a\u30013cm\u5927\u306e\u98df\u9053\u7c98\u819c\u4e0b\u816b\u760d\u3092\u5185\u8996\u93e1\u7684\u306b\u6458\u51fa\" src=\"https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2021\/05\/poet.jpg\" srcset=\"https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2021\/05\/poet.jpg 853w, https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2021\/05\/poet-300x247.jpg 300w, https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2021\/05\/poet-768x631.jpg 768w\" sizes=\"auto, (max-width: 853px) 100vw, 853px\" \/><p id=\"caption-attachment-6404\" class=\"wp-caption-text\">POET\u306b\u3088\u308a\u30013cm\u5927\u306e\u98df\u9053\u7c98\u819c\u4e0b\u816b\u760d\u3092\u5185\u8996\u93e1\u7684\u306b\u6458\u51fa<\/p><\/div>\n<h4><\/h4>\n<h4><\/h4>\n<h4 class=\"mainTitle_2\">\u6f70\u760d\u6027\u5927\u8178\u708e\u3001\u30af\u30ed\u30fc\u30f3\u75c5\u306a\u3069\u306e\u708e\u75c7\u6027\u8178\u75be\u60a3\uff08IBD\uff09<\/h4>\n<h5 class=\"mainTitle_4\">\u60a3\u8005\u3055\u3093\u4e00\u4eba\u3072\u3068\u308a\u306b\u5bc4\u308a\u6dfb\u3044\u3001\u304b\u3064\u5341\u5206\u306a\u79d1\u5b66\u7684\u6839\u62e0\u3092\u6301\u3063\u305f\u6cbb\u7642<\/h5>\n<p>IBD\u306f\u6162\u6027\u7684\u306a\u4e0b\u75e2\u3001\u8840\u4fbf\u3084\u8179\u75db\u3092\u304d\u305f\u3059\u8178\u306e\u75c5\u6c17\u3067\u3001\u8fd1\u5e74\u5897\u52a0\u50be\u5411\u306b\u3042\u308a\u307e\u3059\u3002\u9577\u671f\u7684\u306b\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u3066\u3044\u304f\u3053\u3068\u304c\u91cd\u8981\u306a\u75be\u60a3\u306b\u306a\u308a\u307e\u3059\u3002\u5f53\u9662\u3067\u306f\u65e5\u5e38\u751f\u6d3b\u306b\u3082\u914d\u616e\u3057\u60a3\u8005\u3055\u30931\u4eba1\u4eba\u306b\u5bc4\u308a\u6dfb\u3063\u305f\u9069\u5207\u306a\u6cbb\u7642\uff08\u6804\u990a\u7642\u6cd5\u30015-ASA\u88fd\u5264\u3001\u526f\u814e\u76ae\u8cea\u30b9\u30c6\u30ed\u30a4\u30c9\u3001\u514d\u75ab\u6291\u5236\u5264\u3001\u751f\u7269\u5b66\u7684\u88fd\u5264\u3001\u767d\u8840\u7403\u9664\u53bb\u7642\u6cd5\u306a\u3069\uff09\u3092\u63d0\u6848\u3067\u304d\u308b\u3088\u3046\u52aa\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4 class=\"mainTitle_2\">\u6d88\u5316\u7ba1\u60aa\u6027\u30ea\u30f3\u30d1\u816b<\/h4>\n<h5 class=\"mainTitle_4\">\u8840\u6db2\u816b\u760d\u5185\u79d1\u3068\u5354\u529b\u3057\u3001\u6700\u9069\u306a\u6cbb\u7642\u65b9\u91dd\u3092\u691c\u8a0e<\/h5>\n<p>\u60aa\u6027\u30ea\u30f3\u30d1\u816b\u306f\u8840\u6db2\u4e2d\u306e\u30ea\u30f3\u30d1\u7403\u304c\u304c\u3093\u5316\u3057\u305f\u60aa\u6027\u816b\u760d\u3067\u3059\u3002\u30ea\u30f3\u30d1\u7bc0\u306b\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u304c\u3001\u305d\u306e\u6b21\u306b\u6d88\u5316\u7ba1\u306b\u591a\u304f\u767a\u751f\u3059\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u304a\u308a\u3001\u3057\u3070\u3057\u3070\u80c3\u3084\u8178\u306e\u816b\u760d\u3068\u3057\u3066\u767a\u898b\u3055\u308c\u307e\u3059\u3002\u5f53\u9662\u306f\u6cbb\u7642\u65b9\u91dd\u306e\u6c7a\u5b9a\u306b\u5fc5\u8981\u306a\u5c0f\u8178\u30ab\u30d7\u30bb\u30eb\u5185\u8996\u93e1\u3001PET\/CT\u306a\u3069\u306e\u6a5f\u5668\u3092\u5099\u3048\u3066\u304a\u308a\u3001\u8840\u6db2\u5185\u79d1\u306e\u5c02\u9580\u533b\u3068\u5354\u529b\u3057\u3066\u6700\u9069\u306a\u6cbb\u7642\u65b9\u91dd\u3092\u63d0\u6848\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4 class=\"mainTitle_2\">\u5c0f\u8178\u75be\u60a3<\/h4>\n<h5 class=\"mainTitle_4\">\u30ab\u30d7\u30bb\u30eb\u5185\u8996\u93e1\u306a\u3089\u3073\u306b\u30c0\u30d6\u30eb\u30d0\u30eb\u30fc\u30f3\u5185\u8996\u93e1\u306b\u3088\u308b\u5c0f\u8178\u75c5\u5909\u306e\u7cbe\u5bc6\u306a\u8a3a\u65ad<\/h5>\n<p>\u5f93\u6765\u3001\u6d88\u5316\u7ba1\u306e\u4e2d\u3067\u3082\u5c0f\u8178\u306f\u3042\u307e\u308a\u75c5\u6c17\u306e\u3067\u304d\u306a\u3044\u81d3\u5668\u3068\u3057\u3066\u8a8d\u8b58\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u901a\u5e38\u306e\u4e0a\u90e8\u30fb\u4e0b\u90e8\u6d88\u5316\u7ba1\u5185\u8996\u93e1\u3067\u306f\u89b3\u5bdf\u3092\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u8fd1\u5e74\u9ad8\u9f62\u5316\u306b\u3088\u308b\u75be\u75c5\u69cb\u9020\u306e\u5909\u5316\u3084IBD\u60a3\u8005\u306e\u5897\u52a0\u306b\u4f34\u3044\u3001\u5c0f\u8178\u75c5\u5909\uff08\u816b\u760d\u3001\u7c98\u819c\u969c\u5bb3\u306b\u4f34\u3046\u51fa\u8840\u3001\u708e\u75c7\u3001\u306a\u3069\uff09\u304c\u591a\u304f\u5831\u544a\u3055\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n<p><a class=\"linkList link_gaibu\" href=\"https:\/\/kohnan.or.jp\/kohnan\/archives\/365real\/capsule-endoscopy\" target=\"_blank\" rel=\"noopener 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class=\"mainTitle_2\">\u80c6\u7ba1\u304c\u3093\u3001\u80c6\u56a2\u304c\u3093<\/h4>\n<h5 class=\"mainTitle_4\">EUS\u3001ERCP\u3092\u99c6\u4f7f\u3057\u305f\u6b63\u78ba\u306a\u8a55\u4fa1\u306e\u3046\u3048\u3067\u5916\u79d1\u624b\u8853\u9069\u5fdc\u3092\u691c\u8a0e<\/h5>\n<p>\u80c6\u7ba1\u304c\u3093\u3001\u80c6\u56a2\u304c\u3093\u306f\u809d\u81d3\u3067\u7523\u751f\u3055\u308c\u305f\u80c6\u6c41\u3068\u3044\u3046\u6d88\u5316\u6db2\u306e\u901a\u308a\u9053\u3067\u3042\u308b\u80c6\u7ba1\u3084\u4e00\u6642\u7684\u306b\u80c6\u6c41\u3092\u305f\u3081\u3066\u304a\u304f\u5f79\u5272\u3092\u62c5\u3046\u80c6\u56a2\u306b\u3067\u304d\u308b\u304c\u3093\u306e\u3053\u3068\u3092\u6307\u3057\u307e\u3059\u3002\u80c6\u56a2\u3084\u80c6\u7ba1\u306e\u5468\u56f2\u306b\u306f\u69d8\u3005\u306a\u8840\u7ba1\u3084\u81d3\u5668\u304c\u5bc6\u96c6\u3057\u3066\u304a\u308a\u3001\u6b63\u78ba\u306a\u6cbb\u7642\u3092\u884c\u3046\u306b\u3042\u305f\u3063\u3066\u304c\u3093\u306e\u9032\u5c55\u7bc4\u56f2\u306e\u6b63\u78ba\u306a\u8a3a\u65ad\u304c\u5fc5\u8981\u4e0d\u53ef\u6b20\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u5f53\u9662\u3067\u306f\u524d\u8ff0\u3057\u305fEUS\u306b\u52a0\u3048\u3001ERCP\u4e0b\u3067\u306e\u7ba1\u8154\u5185\u8d85\u97f3\u6ce2\u691c\u67fb\u6cd5\uff08IDUS\uff09\u306a\u3069\u306e\u9ad8\u5ea6\u306a\u5185\u8996\u93e1\u691c\u67fb\u3082\u7a4d\u6975\u7684\u306b\u53d6\u308a\u7d44\u3093\u3067\u304a\u308a\u3001\u6b63\u78ba\u306a\u8a3a\u65ad\u3001\u6cbb\u7642\u304c\u884c\u3048\u308b\u3088\u3046\u52aa\u3081\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h4 class=\"mainTitle_2\">\u81b5\u81d3\u304c\u3093\u3084\u80c6\u7ba1\u304c\u3093\u306a\u3069\u306e\u60aa\u6027\u816b\u760d\u306b\u3088\u308b\u80c6\u9053\u9589\u585e<\/h4>\n<h5 class=\"mainTitle_4\">\u8ca0\u62c5\u306e\u5c11\u306a\u3044\u8d85\u97f3\u6ce2\u5185\u8996\u93e1\u4e0b\u80c6\u9053\u30c9\u30ec\u30ca\u30fc\u30b8\u8853\uff08EUS-BD\uff09<\/h5>\n<p>\u81b5\u81d3\u304c\u3093\u3084\u80c6\u7ba1\u304c\u3093\u306a\u3069\u306e\u60aa\u6027\u816b\u760d\u306b\u3088\u308b\u80c6\u9053\u9589\u585e\u306b\u5bfe\u3057\u3066\u73fe\u5728\u306f\u5185\u8996\u93e1\u7684\u9006\u884c\u6027\u80c6\u81b5\u7ba1\u9020\u5f71\u6cd5\uff08ERCP\uff09\u3092\u5229\u7528\u3057\u305f\u30c9\u30ec\u30ca\u30fc\u30b8\u3092\u884c\u3046\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u304c\u3001\u5185\u8996\u93e1\u7684\u306a\u30c9\u30ec\u30ca\u30fc\u30b8\u304c\u4e0d\u6210\u529f\u306b\u7d42\u308f\u3063\u305f\u5834\u5408\u3001\u6b21\u306e\u624b\u6bb5\u3068\u3057\u3066\u304a\u8179\u306e\u5916\u5074\u304b\u3089\u76ae\u819a\u3092\u901a\u3057\u3066\u809d\u81d3\u306b\u30c1\u30e5\u30fc\u30d6\u3092\u5165\u308c\u308b\u7d4c\u76ae\u7d4c\u809d\u80c6\u9053\u30c9\u30ec\u30ca\u30fc\u30b8\uff08PTCD\uff09\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002PTCD\u306f\u3001\u4f53\u306e\u5916\u5074\u306b\u30c1\u30e5\u30fc\u30d6\u304c\u51fa\u305f\u72b6\u614b\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u305f\u3081\u60a3\u8005\u69d8\u306e\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09\u3092\u8457\u3057\u304f\u4f4e\u4e0b\u3055\u305b\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u3053\u306e\u554f\u984c\u3092\u89e3\u6d88\u3059\u3079\u304f\u3001\u5f53\u9662\u3067\u306f\u524d\u8ff0\u3057\u305fEUS\u3092\u4f7f\u7528\u3057\u3001\u80c3\u3084\u5341\u4e8c\u6307\u8178\u304b\u3089\u80c6\u7ba1\u306b\u76f4\u63a5\u30b9\u30c6\u30f3\u30c8\u3092\u7559\u7f6e\u3059\u308b\u8d85\u97f3\u6ce2\u5185\u8996\u93e1\u4e0b\u80c6\u9053\u30c9\u30ec\u30ca\u30fc\u30b8\u8853\uff08EUS-BD\uff09\u306b\u3082\u5bfe\u5fdc\u3057\u3066\u3044\u307e\u3059\u3002\u975e\u5e38\u306b\u65b0\u3057\u3044\u624b\u6280\u3067\u307e\u3060\u5c0e\u5165\u3057\u3066\u3044\u308b\u65bd\u8a2d\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u5f53\u9662\u306f\u795e\u6238\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u306e\u6d88\u5316\u5668\u5185\u79d1\u3068\u9023\u643a\u3057\u3066EUS\u306e\u7d4c\u9a13\u304c\u8c4a\u5bcc\u306a\u30b9\u30bf\u30c3\u30d5\u306e\u5143\u3001\u540c\u51e6\u7f6e\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u3059\u3002EUS-BD\u306e\u4e00\u756a\u306e\u5229\u70b9\u306f\u30c1\u30e5\u30fc\u30d6\u304c\u4f53\u8868\u304b\u3089\u51fa\u306a\u3044\u305f\u3081\u60a3\u8005\u69d8\u306eQOL\u3092\u640d\u306d\u306a\u3044\u3053\u3068\u306b\u3042\u308a\u307e\u3059\u3002\u80c6\u7ba1\u72ed\u7a84\u306e\u75c7\u72b6\u306b\u304a\u56f0\u308a\u3067PTCD\u306b\u5bfe\u3057\u3066\u62b5\u6297\u304c\u3042\u308b\u60a3\u8005\u69d8\u304c\u3044\u3089\u3063\u3057\u3083\u3044\u307e\u3057\u305f\u3089\u3044\u3064\u3067\u3082\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n<ul class=\"ul2_1\">\n<li><img decoding=\"async\" loading=\"lazy\" width=\"377\" height=\"239\" class=\"alignnone size-full wp-image-1126\" alt=\"EUS-FNA\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2019\/07\/gastroenterology_02.jpg\" srcset=\"https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2019\/07\/gastroenterology_02.jpg 377w, https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2019\/07\/gastroenterology_02-300x190.jpg 300w\" sizes=\"auto, (max-width: 377px) 100vw, 377px\" \/>EUS-FNA<\/li>\n<li><img decoding=\"async\" loading=\"lazy\" width=\"476\" height=\"239\" class=\"alignnone size-full wp-image-1125\" alt=\"\u8d85\u97f3\u6ce2\u5185\u8996\u93e1\u4e0b\u80c6\u9053\u30c9\u30ec\u30ca\u30fc\u30b8\u8853(EUS-BD)\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2019\/07\/gastroenterology_03.jpg\" srcset=\"https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2019\/07\/gastroenterology_03.jpg 476w, https:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2019\/07\/gastroenterology_03-300x151.jpg 300w\" sizes=\"auto, (max-width: 476px) 100vw, 476px\" \/>\u8d85\u97f3\u6ce2\u5185\u8996\u93e1\u4e0b\u80c6\u9053\u30c9\u30ec\u30ca\u30fc\u30b8\u8853(EUS-BD)<\/li>\n<li><a href=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/eus.png\"><img decoding=\"async\" loading=\"lazy\" width=\"300\" height=\"194\" class=\"alignnone wp-image-4675 size-medium\" alt=\"\" src=\"http:\/\/kohnan.or.jp\/kohnan\/wp-content\/uploads\/2020\/03\/eus-300x194.png\" \/><\/a>Interventional EUS<\/li>\n<\/ul>\n<h3 class=\"mainTitle_1\">3\uff09\u809d\u81d3\u75be\u60a3<\/h3>\n<p>\u809d\u81d3\u306f\u75c7\u72b6\u304c\u3042\u307e\u308a\u73fe\u308c\u306a\u3044\u305f\u3081\u3001\u201c\u6c88\u9ed9\u306e\u81d3\u5668\u201c\u3068\u3082\u547c\u3070\u308c\u307e\u3059\u304c\u3001\u751f\u547d\u7dad\u6301\u306b\u306f\u4e0d\u53ef\u6b20\u306a\u81d3\u5668\u3067\u3059\u3002\u3044\u304b\u306b\u3044\u305f\u308f\u308a\u306a\u304c\u3089\u3001\u3054\u81ea\u8eab\u306e\u809d\u81d3\u3068\u4ed8\u304d\u5408\u3063\u3066\u3044\u304f\u304b\u304c\u5927\u5207\u3067\u3059\u3002\u5f53\u9662\u306b\u306f\u809d\u81d3\u5c02\u9580\u533b\uff08\u5185\u79d1\u30fb\u5916\u79d1\u3068\u3082\u306b\uff09\u304c\u591a\u6570\u5728\u7c4d\u3057\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u5206\u304b\u3089\u306a\u3044\u3053\u3068\u306f\u4f55\u3067\u3082\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n<h4 class=\"mainTitle_2\">\u6162\u6027\u809d\u75be\u60a3\uff08\u30a6\u30a4\u30eb\u30b9\u6027\u809d\u708e\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u6027\u809d\u708e\u3001\u975e\u30a2\u30eb\u30b3\u30fc\u30eb\u6027\u8102\u80aa\u6027\u809d\u708e\uff08NASH\uff09\u3001\u81ea\u5df1\u514d\u75ab\u6027\u809d\u708e\u306a\u3069\uff09<\/h4>\n<h5 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