腸狭窄
WordNet
- of or relating to or inside the intestines; "intestinal disease" (同)enteric, enteral
- severe criticism
PrepTutorEJDIC
- 腸[内]の
- 《しばしば複数形で》(…についての)非難,酷評《+on(upon)+名》 / (管状器官の)狭窄
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2018/02/14 03:49:21」(JST)
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"Stricture (medicine)" redirects here.
Stenosis |
Synonyms |
Stenoses |
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CT scan of a bronchial stenosis (arrow) that resulted from tracheobronchial injury |
Pronunciation |
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Classification and external resources |
MeSH |
D003251 |
[edit on Wikidata]
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A stenosis is an abnormal narrowing in a blood vessel or other tubular organ or structure. It is also sometimes called a stricture (as in urethral stricture).[3]
Stricture as a term is usually used when narrowing is caused by contraction of smooth muscle (e.g., achalasia, prinzmetal angina); stenosis is usually used when narrowing is caused by lesion that reduces the space of lumen (e.g., atherosclerosis).[citation needed] The term coarctation is another synonym,[4] but is commonly used only in the context of aortic coarctation.
Restenosis is the recurrence of stenosis after a procedure. The term is from Ancient Greek στενός, "narrow".
Contents
- 1 Diagnosis
- 2 Causes
- 3 Types
- 4 See also
- 5 References
- 6 External links
Diagnosis
Stenoses of the vascular type are often associated with unusual blood sounds resulting from turbulent flow over the narrowed blood vessel. This sound can be made audible by a stethoscope, but diagnosis is generally made or confirmed with some form of medical imaging.
Causes
- atherosclerosis causes stenotic lesions in arteries.
- birth defects
- calcification
- diabetes
- iatrogenic, e.g. secondary to radiation therapy
- infection
- inflammation
- ischemia
- neoplasm – in such cases, the stenosis is often said to be "malignant" or "benign", although this attribute actually refers to the neoplasm itself.
- smoking
- ureteral
- urethral
Types
The resulting syndrome depends on the structure affected.
Examples of vascular stenotic lesions include:
- Intermittent claudication (peripheral artery stenosis)
- Angina (coronary artery stenosis)
- Carotid artery stenosis which predispose to (strokes and transient ischaemic episodes)
- Renal artery stenosis
The types of stenoses in heart valves are:
- Pulmonary valve stenosis, which is the thickening of the pulmonary valve, therefore causing narrowing
- Mitral valve stenosis, which is the thickening of the mitral valve (of the left heart), therefore causing narrowing
- Tricuspid valve stenosis, which is the thickening of the tricuspid valve (of the right heart), therefore causing narrowing
- Aortic valve stenosis, which is the thickening of the aortic valve, therefore causing narrowing
Stenoses/strictures of other bodily structures/organs include:
- Pyloric stenosis (gastric outflow obstruction)
- Lumbar, cervical or thoracic spinal stenosis
- Subglottic stenosis (SGS)
- Tracheal stenosis
- Obstructive jaundice (biliary tract stenosis)
- Bowel obstruction
- Phimosis
- Non-communicating hydrocephalus
- Stenosing tenosynovitis
- Atherosclerosis
- Esophageal stricture
- Achalasia
- Prinzmetal angina
- Vaginal stenosis
See also
References
Notes
- ^ OED 2nd edition, 1989, as /stɪˈnəʊsɪs/.
- ^ Entry "stenosis" in Merriam-Webster Online Dictionary.
- ^ "Dorlands Medical Dictionary:stenosis". www.mercksource.com. Retrieved 2010-05-05.
- ^ "coarctation" at Dorland's Medical Dictionary
External links
- Tracheal Stenosis Audio and Video
Cardiovascular disease (vessels) (I70–I99, 440–456)
|
Arteries, arterioles
and capillaries |
Inflammation |
- Arteritis
- Buerger's disease
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Peripheral artery disease |
Arteriosclerosis |
- Atherosclerosis
- Foam cell
- Fatty streak
- Atheroma
- Intermittent claudication
- Critical limb ischemia
- Monckeberg's arteriosclerosis
- Arteriolosclerosis
- Hyaline
- Hyperplastic
- Cholesterol
- LDL
- Oxycholesterol
- Trans fat
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Stenosis |
- Carotid artery stenosis
- Renal artery stenosis
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Other |
- Aortoiliac occlusive disease
- Degos disease
- Erythromelalgia
- Fibromuscular dysplasia
- Raynaud's phenomenon
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Aneurysm / dissection /
pseudoaneurysm |
- torso: Aortic aneurysm
- Abdominal aortic aneurysm
- Thoracic aortic aneurysm
- Aneurysm of sinus of Valsalva
- Aortic dissection
- Coronary artery aneurysm
- head / neck
- Intracranial aneurysm
- Intracranial berry aneurysm
- Carotid artery dissection
- Vertebral artery dissection
- Familial aortic dissection
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Vascular malformation |
- Arteriovenous fistula
- Arteriovenous malformation
- Telangiectasia
- Hereditary hemorrhagic telangiectasia
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Vascular nevus |
- Cherry hemangioma
- Halo nevus
- Spider angioma
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Veins |
Inflammation |
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Venous thrombosis /
Thrombophlebitis |
- primarily lower limb
- abdomen
- Hepatic veno-occlusive disease
- Budd–Chiari syndrome
- May–Thurner syndrome
- Portal vein thrombosis
- Renal vein thrombosis
- upper limb / torso
- Mondor's disease
- Paget–Schroetter disease
- head
- Cerebral venous sinus thrombosis
- Post-thrombotic syndrome
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Varicose veins |
- Gastric varices
- Portacaval anastomosis
- Caput medusae
- Esophageal varices
- Hemorrhoid
- Varicocele
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Other |
- Chronic venous insufficiency
- Chronic cerebrospinal venous insufficiency
- Superior vena cava syndrome
- Inferior vena cava syndrome
- Venous ulcer
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Arteries or veins |
- Angiopathy
- Macroangiopathy
- Microangiopathy
- Embolism
- Pulmonary embolism
- Cholesterol embolism
- Paradoxical embolism
- Thrombosis
- Vasculitis
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Blood pressure |
Hypertension |
- Hypertensive heart disease
- Hypertensive emergency
- Hypertensive nephropathy
- Essential hypertension
- Secondary hypertension
- Renovascular hypertension
- Benign hypertension
- Pulmonary hypertension
- Systolic hypertension
- White coat hypertension
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Hypotension |
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UpToDate Contents
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English Journal
- Clinical usefulness of transabdominal ultrasonography prior to patency capsule for suspected small-bowel strictures.
- Nakano M1, Oka S2, Tanaka S2, Kunihara S1, Igawa A1, Aoyama T1, Imagawa H3, Onogawa S3, Ueno Y2, Hanada K3, Chayama K1.
- Scandinavian journal of gastroenterology.Scand J Gastroenterol.2016 Mar;51(3):281-7. doi: 10.3109/00365521.2015.1095942. Epub 2015 Oct 14.
- OBJECTIVE: Patency capsule (PC) examination has made it possible to perform capsule endoscopy (CE) in patients with a suspected small-bowel stricture. However, PC has some drawbacks, so we assessed the usefulness of transabdominal ultrasonography (TUS) prior to PC in patients with suspected small-bo
- PMID 26466551
- Sevelamer crystals in the mucosa of the gastrointestinal tract in a teenager with end-stage renal disease.
- Kim J1, Olson K1, Butani L2.
- Pediatric nephrology (Berlin, Germany).Pediatr Nephrol.2016 Feb;31(2):339-41. doi: 10.1007/s00467-015-3269-1. Epub 2015 Nov 13.
- BACKGROUND: Non-calcium-containing phosphate binders, such as sevelamer preparations, are being increasingly used in patients on dialysis due to their lower association with hypercalcemia and cardiovascular morbidity and mortality. While minor gastrointestinal side effects are quite common with the
- PMID 26563116
- Reversibility of Stricturing Crohn's Disease-Fact or Fiction?
- Bettenworth D1, Rieder F.
- Inflammatory bowel diseases.Inflamm Bowel Dis.2016 Jan;22(1):241-7. doi: 10.1097/MIB.0000000000000598.
- Intestinal fibrosis is a common feature of Crohn's disease and may appear as a stricture, stenosis, or intestinal obstruction. Fibrostenosing Crohn's disease leads to a significantly impaired quality of life in affected patients and constitutes a challenging treatment situation. In the absence of sp
- PMID 26588089
Japanese Journal
- 板橋 道朗,中尾 紗由美,番場 嘉子 [他],橋本 拓造,廣澤 知一郎,小川 真平,亀岡 信悟
- 東京女子医科大学雑誌 84(E3), E424-E429, 2014-11-30
- 腸管のう胞状気腫症(以下、PCI)は腸管壁内にガスが貯留する病態で、発症機序は不明であるが炎症性腸疾患をはじめ様々な病態に合併することが知られている。しかしながら、実臨床でクローン病(以下、CD)に合併することは比較的稀である。回盲部CD狭窄の肛門側にPCIが発生し、CDによる狭窄のため手術を施行した症例を経験した。腸管切除手術を考慮する際に切除断端の決定に迷うことも推測されるため本症例を報告する …
- NAID 110009864202
- 腹腔鏡下手術を施行した回腸狭窄によるカプセル内視鏡滞留の1例
- 三枝 晋,大井 正貴,今岡 裕基,志村 匡信,井上 靖浩,楠 正人
- 日本臨床外科学会雑誌 75(5), 1320-1323, 2014
- 症例は50歳,男性.貧血精査のため,カプセル内視鏡(CE)目的に当院紹介となった.CEの回盲部への到達は確認出来なかったが,観察範囲に多発小腸潰瘍を認めた.5カ月後,貧血の再発を認めたため,再紹介となった.再診時,腹部症状は認めなかった.腹部X線写真・単純CT上,骨盤腔内小腸にCE滞留を認めた.1週間後の腹部X線写真においても,同部位でのCE滞留を認めたため,腹腔鏡下手術を施行した.CEおよび病変 …
- NAID 130004706284
- 石井 優,北村 勝哉,佐藤 悦基,木原 俊裕,岩田 朋之,野本 朋宏,三田村 圭太郎,藤森 聰,榎並 延太,青木 武士,村上 雅彦,大池 信之,諸星 利男,吉田 仁
- Progress of Digestive Endoscopy 82(1), 214-215, 2013
- … CT scan and MRCP showed stricture of the lower bile duct by a papillary tumor, while EUS and IDUS images showed a hyper echoic papillary tumor in the lower bile duct. … Brushing cytology at the stricture segment of the lower bile duct revealed a class III lesion, so ERCP was repeated. … The patient underwent surgery, and final diagnosis by histology was intraductal papillary neoplasm with an associated invasive carcinoma (IPNB, intestinal type). …
- NAID 130004652829
Related Links
- About Intestinal Strictures. An intestinal stricture, also known as a stenosis, is a narrowing of a tubular part of the body. In the case of Inflammatory Bowel Disease, is a stricturing of the intestines or any other region of the Gastrointestinal Tract.
- Intestinal adhesions — bands of fibrous tissue in the abdominal cavity that can form after abdominal or pelvic surgery; Hernias ... of the colon (volvulus); Impacted feces; Narrowing of the colon caused by inflammation and scarring ( stricture) ...
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- 関
- alimentary system、bowel、digestive system、enteric、enteric canal、entero、gastrointestinal、gastrointestinal system、GI、gut、intestinal tract、intestine
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- 関
- constrict、constriction、constrictive、stenoses、stenosis、stenotic