9,0008,0007,0006,0005,0004,0003,0002,0001,000201820192020020212022内視鏡検査件数の推移上部消化管下部消化管胆膵内視鏡（ERCP）小腸バルーン内視鏡カプセル小腸内視鏡気管支鏡内視鏡的粘膜下層剥離術内視鏡的粘膜切除術静脈瘤治療（EIS・EVL）バルーン拡張術止血術胃瘻造設・胃瘻交換その他治療血液透析3,9321,27677027895146,60820052236112139157781,2447,8523,7191,56476922494356,55813531126147117118669207,478内視鏡専用X線透視装置LDL吸着早期胃癌に対する内視鏡的粘膜下層剥離術41内視鏡治療合計合 計2018年2019年2020年2021年2022年4,0053,9871,3181,679643946351781534814426,8386,8492201945972462833856511110215215864981,2828717,7208,1203,8751,68379420743886,8341572552510489136888547,688消化管内視鏡Digestive endoscopic examination上部消化管内視鏡Upper gastrointestinal endoscopy下部消化管内視鏡Lower gastrointestinal endoscopy胆膵内視鏡（ERCP）Endoscopic retrograde cholangiopancreatography小腸バルーン内視鏡Balloon enteroscopyカプセル小腸内視鏡Capsule endoscopy気管支鏡Bronchoscopy内視鏡検査合計呼吸器内視鏡Respiratory endoscopic examination内視鏡的粘膜下層剥離術Endoscopic submucosal resection内視鏡的粘膜切除術Endoscopic mucosal resection静脈瘤治療（EIS・EVL）Endoscopic injection sclerotherapy・Endoscopic variceal ligationバルーン拡張術Endoscopic balloon dilation止血術Endoscopic hemostasis胃瘻造設・胃瘻交換Percutaneous endoscopic gastrostomy・Replacement of gastrostoma tubeその他治療Other treatment治療内視鏡Endoscopic treatment令和４年総治療件数 Total number of treatment cases in 2022内 訳 Breakdown 血液透析………………………2,490 Hemodialysis 血漿交換／二重濾過血漿交換…135 Plasma echange/Double fltration pasmapheresis 血漿吸着…………………………105 Plasma adsorption 持続的腎代替療法………………227 Continuous renal replacement therapy エンドトキシン吸着………………2 Endotoxin absorption 血球成分除去療法………………24 Cytapheresis 腹水濾過濃縮再静注法…………40 cell-free and concentrated ascites reinfusion therapy 総治療件数……………………3,023 Total number of treatment casesTotal ■ 血液浄化療法部 Blood Purification 血液浄化療法部では、慢性および急性血液浄化療法、具体的には、血液透析、腹膜透析（CAPD）、血漿交換、血漿吸着、持続的腎代替療法（CRRT）、エンドトキシン吸着、直接血液吸着、腹水ろ過濃縮再静注法などが施行されています。対象疾患は、腎不全、肝不全、自己免疫疾患、高脂血症、潰瘍性大腸炎、敗血症、多臓器不全など多岐にわたります。主に入院患者が対象です。Department of blood purification performs various type of blood purification therapies including hemodialysis, continuous ambulatory peritoneal dialysis, continuous hemodiafiltration, plasma exchange, immune absorption, plasma adsorption, granulocyte apheresis, endotoxin absorption and cell-free and concentrated ascites reinfusion therapy. These are utilized for treatment for the following diseases; chronic kidney disease, acute kidney injury, multi organ failure, hepatic failure, autoimmune diseases, familial hypercholesterolemia, inflammatory bowel diseases, and refractory ascites. ■ 内視鏡センター Endoscopic Examination Center 内視鏡センターでは、消化管、胆道、膵臓、肝臓、呼吸器の内視鏡検査および治療を年間約8,000件行っています。最近の傾向として、内視鏡を用いた治療・処置（消化管腫瘍、胆道癌、膵癌など）の件数が増加しています。About 8,000 cases （per year）of diagnostic and therapeutic endoscopies are performed for diseases of the gastrointestinal tract biliary tract and pancreas, liver, and respiratory tract. Recently, the number of therapeutic endoscopies is increasing for esophagogastrointestinal neoplasms, bile duct carcinoma and pancreatic carcinoma, etc.診療実績の推移 Changes in Number of Endoscopical Examination and Treatment（2018～2022）
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