2019JGA指南_结肠憩室出血和结肠憩室炎.pdfVIP

Guidelines Digestion 2019;99(suppl 1):1–26 Published online: January 9, 2019 DOI: 10.1159/000495282 Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association Naoyoshi Nagataa, b Naoki Ishiia, c Noriaki Manabea, d Kenji Tomizawa a, e Yoshihisa Uritaf, g Tomohiro Funabikih, i Shunji Fujimorif, j Mitsuru Kaisea, j a Japanese Gastroenterological Association, Tokyo, Japan; b Department of Gastroenterology and Hepatology, National Center for Global Health and Medicine, Tokyo, Japan; c Division of Gastroenterology, Tokyo Shinagawa Hospital, Tokyo, Japan; d Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan; e Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan; f Japanese Society of Gastroenterology,Tokyo, Japan; g Department of General Medicine and Emergency Care, Toho University, School of Medicine, Tokyo, Japan; hJapanese Society of Interventional Radiology, Saitama, Japan; i Department of Emergency and Critical Care Medicine, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan; j Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan Keywords ticular disease differs between Japan and Western countries. Acute lower gastrointestinal bleeding · Acute colonic For example, computed tomography (CT) is readily accessi- diverticulitis · Acute lower gastrointestinal hemorrhage · ble at Japanese hospitals, so urgent CT may be selected