Matsumoto Takayuki, Hisamatsu Tadakazu, Esaki Motohiro, Omori Teppei, Sakuraba Hirotake, Shinzaki Shinichiro, Sugimoto Ken, Takenaka Kento, Naganuma Makoto, Bamba Shigeki, Hisabe Takashi, Hiraoka Sakiko, Fujiya Mikihiro, Matsuura Minoru, Yanai Shunichi, Watanabe Kenji, Ogata Haruhiko, Andoh Akira, Nakase Hiroshi, Ohtsuka Kazuo, Hirai Fumihito, Fujishiro Mitsuhiro, Igarashi Yoshinori, Tanaka Shinji
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Iwate Medical University, Iwate, Japan.
Department of Gastroenterology and Hepatology, Kyorin University School of Medicine, Tokyo, Japan.
Dig Endosc. 2025 Apr;37(4):319-351. doi: 10.1111/den.15002. Epub 2025 Mar 3.
In recent years, we have seen a considerable increase in the number of patients with inflammatory bowel diseases of unknown etiology, including both Crohn's disease and ulcerative colitis. Inflammatory bowel diseases can cause intestinal lesions throughout the gastrointestinal tract, necessitating gastrointestinal endoscopy for examining all relevant aspects, especially lesion characteristics, for differential diagnosis and histological diagnosis, to select the appropriate treatment options, determine treatment effectiveness, etc. Specific guidelines are necessary to ensure that endoscopy can be performed in a safe and more tailored and efficient manner, especially since gastrointestinal endoscopy, including enteroscopy, is a common procedure worldwide, including in Japan. Within this context, the Japan Gastroenterological Endoscopy Society has formulated the "Guidelines for the Endoscopic Diagnosis and Treatment of Inflammatory Bowel Diseases" to provide detailed guidelines regarding esophagogastroduodenoscopy, enteroscopy, and colonoscopy procedures for definitive diagnosis, as well as determination of treatment effectiveness in clinical cases of inflammatory bowel diseases.
近年来,我们发现病因不明的炎症性肠病患者数量大幅增加,其中包括克罗恩病和溃疡性结肠炎。炎症性肠病可导致整个胃肠道出现肠道病变,因此需要进行胃肠内镜检查以全面评估所有相关方面,尤其是病变特征,用于鉴别诊断和组织学诊断,从而选择合适的治疗方案、确定治疗效果等。需要有具体的指南来确保内镜检查能够以安全、更具针对性和高效的方式进行,特别是因为包括小肠镜检查在内的胃肠内镜检查在全球范围内,包括在日本,都是一种常见的操作。在此背景下,日本胃肠内镜学会制定了《炎症性肠病内镜诊断和治疗指南》,以提供有关食管胃十二指肠镜检查、小肠镜检查和结肠镜检查程序的详细指南,用于明确诊断以及确定炎症性肠病临床病例的治疗效果。