イレウスチューブを用いた小腸内圧計測システムの開発

Development of an instrument system for measuring the internal pressure of the small intestine using an ileus tube

石川 寛子; 岡 潔; 長縄 明大*; 芳野 純治*; 若林 貴夫*; 渡邊 真也*; 内藤 岳人*

Ishikawa, Noriko; Oka, Kiyoshi; Naganawa, Akihiro*; Yoshino, Junji*; Wakabayashi, Takao*; Watanabe, Shinya*; Naito, Takehito*

消化管では、機能的疾患の診断,重症度の判定,治療方針の決定,治癒の判定を目的とし内圧計測が行われている。小腸も種々の方法による内圧計測が行われてきたが、これらの方法は患者への苦痛や負担を伴う場合があることや、電気的要素を体内に取り込む場合もあることから、あまり好ましくない。そこで本研究では、腸閉塞の治療に使われるイレウスチューブを用いて、患者への負担がなく、無侵襲に小腸の内圧を計測するシステムを開発した。また、その装置の基礎性能試験を行ったところ、約2.8秒の整定時間でバルーンにかかる圧力を計測できることを確認した。

Instruments for measuring the internal pressure of digestive organs are used for diagnosing functional diseases, judging how critical the condition is, and deciding the treatment method or determining the degree of alleviation. However, the technique wherein the internal pressure of the small intestine is measured is highly invasive and painful for patients, and the insertion of the catheter via transducers is not preferred because it involves the insertion of an electric instrument in the body. In this study, we developed a system that measures the pressure of the small intestine with an ileus tube, which is generally used for the treatment of ileus. The main feature of our system is that can be used to measure internal pressure without the insertion of electric instruments such as transducers into the body, allowing the assessment of ileus without causing pain to the patient being treated. In this note, we present a brief description of the structure and function of this instrument used to measure the internal pressure of the small intestine.