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インドシアニングリーンを用いた食道静脈瘤の半導体レーザー治療

Research Project

Project/Area Number 09671339
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionJIKEI UNIVERSITY SCHOOL OF MEDICINE

Principal Investigator

SUZUKI Hiroaki  JIKEI UNIVERSITY SCHOOL OF MEDICINE,ENDOSCOPY,PROFESSOR, 内視鏡科, 教授 (70056696)

Co-Investigator(Kenkyū-buntansha) OKUWAKI Shuichiro  JIKEI UNIVERSITY SCHOOL OF MEDICINE,ENDOSCOPY,ASSISTANT, 内視鏡科, 助手 (00233487)
IKEDA Keiichi  JIKEI UNIVERSITY SCHOOL OF MEDICINE,ENDOSCOPY,ASSISTANT, 内視鏡科, 助手 (70297365)
KAKUTANI Hiroshi  JIKEI UNIVERSITY SCHOOL OF MEDICINE,ENDOSCOPY,ASSISTANT, 内視鏡科, 助手 (80256213)
MASUDA Katsunori  JIKEI UNIVERSITY SCHOOL OF MEDICINE,ENDOSCOPY,LECTURER, 内視鏡科, 講師 (80199695)
HINO Shoryoku  JIKEI UNIVERSITY SCHOOL OF MEDICINE,ENDOSCOPY,ASSISTANT, 内視鏡科, 助手 (10277072)
Project Period (FY) 1997 – 1998
Project Status Completed (Fiscal Year 1998)
Budget Amount *help
¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 1998: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1997: ¥1,800,000 (Direct Cost: ¥1,800,000)
KeywordsESOPHAGEAL VARICES / DIODELASER / INDOCYANINE GREEN / (diode-laser)半導体レーザー / インドシアン2グリーン(ICG) / 内視鏡治療
Research Abstract

Endoscopic sclerotherapy and variceal ligation are widely accepted as the first choice of treatment for esophageal varices. However, its safety and efficacy has not been completely achieved yet.
We developped ICG enhanced diode laser photosclerotherapy as preventive treatment for bleeding esophageal varices. Submucosal injection of wave length-specific dye (ICG : indocyanine green) could provide enhanced diode laser beam absorbtion selectively in the submucosal tissues around esophageal varices. First of all, we clarified the efficacy and safety of this new technique esperimentally using dog's esophagus and then applied it in 6 cases of esophageal varices. In the experimentally study, thermal injuries in the mucosa and submucosa were selectively induced without surface defects during irradiation. A month follow up e*oscopy showed degenerated mucosa and submucosa to be replaced with fibrosis while no changes were observed in the muscle layer. Based on these findings, we therefore, applied this technique in 6 patients of esophageal varices after EVL treatment. Complete eradication was archieved within 2 weeks in all cases. A mild stenosis was seen in 2 patients, which was easily treated by balloon dilatation. It is concluded that ICG dye enhanced diode laser photosclerotherapy would be useful as a simple, safe and effective alternative to prevent bleeding from esophageal varices.

Report

(3 results)
  • 1998 Annual Research Report   Final Research Report Summary
  • 1997 Annual Research Report
  • Research Products

    (3 results)

All Other

All Publications (3 results)

  • [Publications] 日野 昌力: "食道静脈瘤に対するICG dye enhanced diode laser photosclerotherapy" Gastroenterological Endoscopy. 40・11. 1957-65 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] SHORYOKU HINO: "EXPERIMENTAL AND CLINICAL STUDIES OF ICG DYE ENHANCED DIODE LASER PHOTOSCLEROTHERAPY FOR ESOPHAGEAL VARICES" GASTROENTEROLOGICAL ENDOSCOPY. 40-11. 1957-1965 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1998 Final Research Report Summary
  • [Publications] 日野 昌力: "食道静脈瘤に対するICG dye enhanced diode laser photosclerotherapy" Gastroenterological Endoscopy. 40・11. 1957-1965 (1998)

    • Related Report
      1998 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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