내시경검사의 이해 - gie.or.kr

1 46 183 Jimin HanDepartment of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, KoreaD-I. Room D .. 1. 1) (diagnostic endoscopy )(1) (upper gastrointestinal endoscopy , esophagogastroduodenoscopy, EGD): , , 2 . (transnasal gastrointestinal endoscopy ) . (white light endoscopy ).

2 (chromoendoscopy) . , . (Lugol s solution), (methylene blue), (indigocarmine) . , , . (virtual chromoendoscopy)/ (image enhanced endoscopy ) . NBI (narrow band image), FICE (Fuji intelligent color enhancement), I scan . ) (magnification endoscopy ).

3 (2) (lower gastrointestinal endoscopy ) (colonoscopy) . (sigmoidoscopy) , 60 cm .. (3) (small bowel endoscopy ) (wireless capsule endoscopy ) .. 184 The Korean Society of Gastrointestinal endoscopy .

4 (double balloon endoscopy ), (single balloon endoscopy ), (spiral enteroscopy) . overtube 1 overtube 1 .. (4) (endoscopic retrograde chol-angiopancreatography, ERCP): (side viewing duo-denoscope) 2 .. ERCP . Direct cholangioscopy.

5 Direct pancreatoscopy: Direct cholangioscopy .(5) (endoscopic ultrasonography, EUS) (radial/sector echoendoscope) 360 . (linear echoendoscope) 105 2 convex array .. (miniprobe echoendoscope) .. (intraductal ultrasonography, IDUS) .(6) (percutaneous transhepatic chol-angioscopy, PTCS).

6 2) (therapeutic endoscopy )(1) (polypectomy): .(2) (endoscopic mucosal resection, EMR): (snare) .(3) (endoscopic submucosal dissection, ESD): . (4) (endoscopic hemostasis) (variceal bleeding) . histoacryl . (non variceal bleeding) , Dieulafoy.

7 (5) (foreign body removal): ..(6) (small bowel endoscopy ): (double balloon endoscopy ), (single balloon endoscopy ), (spiral enteroscopy) , , , , . , . (7) (endoscopic retrograde chol-angiopancreatography, ERCP): , . , 46 185.

8 (8) (endoscopic ultrasonography, EUS): . , , / , , , . (9) (percutaneous transhepatic chol-angioscopy, PTCS): , , .(10) (bougie dilation) , 5~20 mm Savary Gillard .. (balloon dilation) (achalasia).

9 (stent insertion) / , , (tracheoesophageal fistula), . (11) (percutaneous endoscopic gastro-stomy, PEG): , . (12) (nasojejunal tube insertion): . (13) (sigmoid volvulus reduction): ..14) (pseudoobstruction decompression).

10 , , , .(15) (photodynamic therapy): , . (photosensitizer) . (photochemial process) . 2. 1) (elective endoscopy ) .. (1) (2) 2) (emergent/urgent endoscopy ) 24 . (1) (endoscopic hemostasis): (variceal bleeding), (non variceal bleeding)(2) (foreign body removal)(3) (endoscopic retrograde chol-angiopancreatography, ERCP).