巻号一覧
19 巻, 3 号
選択された号の論文の14件中1～14を表示しています
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Peter B. Cotton1977 年 19 巻 3 号 p. 217-240
発行日: 1977/04/20
公開日: 2011/05/09
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1977 年 19 巻 3 号 p. 241-257
発行日: 1977/04/20
公開日: 2011/05/09
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1977 年 19 巻 3 号 p. 258-271
発行日: 1977/04/20
公開日: 2011/05/09
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1977 年 19 巻 3 号 p. 272-282
発行日: 1977/04/20
公開日: 2011/05/09
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1977 年 19 巻 3 号 p. 283-322
発行日: 1977/04/20
公開日: 2011/05/09
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須川 暢一1977 年 19 巻 3 号 p. 323-327
発行日: 1977/04/20
公開日: 2011/05/09
ジャーナル フリーAmoung 211, 410 peroral endoscopic examinations reported in a survey of A/S/G/E members, the overall rate of complications was 1.32/1000. The complication rates for esophageal dilation ranged from 4, 25 to 18.4/1000, depending on the technique employed. Major complications included perforation, hemorrhage from biopsy, aspiration, myocardial infarction, cardiac arrest and arrhythmia, and arrhythmia, and respiatory arrest attributed to topical pharyngeal anesthesia or intravenously administered diazepam (Valium). While confirming the prevailing safety of peroral endoscopy and dilation, this survey points up the need for unremitting vigilance. Radiographic examination, when feasible, should precede peroral endoscopy. Any suspicion of perforation requires prompt radiologic investigation using a water-soluble contrast medium. Biopsy at the base of an ulcer is hazardous. Cardiopulmonary resuscitation should be immediately available in the endoscopy room. Pneumatic dilation of the esophagus carries a small but definite risk of rupture which necessitates emergency thoracotomy.抄録全体を表示PDF形式でダウンロード (652K) -
房本 英之, 寒川 昌明, 高橋 道知, 杉本 侃, 川野 淳, 野口 正彦, 平松 紘一, 益沢 巳学, 鎌田 武信1977 年 19 巻 3 号 p. 328-334
発行日: 1977/04/20
公開日: 2011/05/09
ジャーナル フリーStress ulcer following severe injuries as head trauma or burn is one of the life-threatening complications. After the introduction of the flexible gastroduodenoscope and emergency endoscopical examination of patients with G-I bleeding, diagnosis of stress ulcer can be made with great certainty and incidence has increased to approximately 10-20% of cages of upper G-I bleeding in recent report. The present study deals with the problenis of endoscopical diagnosis and treatment of stress ulcer found in 70 cases with head trauma, burn or other injuries.1) Endoscopic findings showed hemorrhagic gastritis in 51 cases, acute gastric ulcer in 21 (single 3, multiple18), acute duodenal ulcer in 10 (single 9, multiple 1), esophagitis in 10, duodenitis in 8 and others.2) Stress ulcer was not found in 6 patients of 59 patients with macroscopically demonstrated G-I bleeding. Endoscopical examination in these 6 patients was performed 4 to 7 days after G-I bleeding.3) Stress ulcer was seen in 50% of 34 patients without G-I bleeding. Bleeding site was not demonstrated in 3 cases.4) Massive G-I bleeding requiring blood transfusion over 1000ml was due to diffuse hemorrhagic gastritis, multiple gastric ulcers or duodenal ulcer.G-I bleeding from local hemorrhagic gastritis, esophagitis, duodenitis, and gastric erosion was mild.5) Prognosis of the patients was not differed between two groups during each 5-year period stress ulcer was diagnosed clinical only by G-I bleeding and later confirmed by endoscopy. Conventinal medical treatment was ineffective in about 35% and mortality from massive G-I bleeding was about 15%.6) Emergency operation was performed in 5 cases, 4 of whom survived.抄録全体を表示PDF形式でダウンロード (965K) -
小林 茂雄, 西沢 護, 狩谷 淳, 間山 素行1977 年 19 巻 3 号 p. 335-339
発行日: 1977/04/20
公開日: 2011/05/09
ジャーナル フリーAll the part of colonic mucosa is now able to be observed endoscopically. On the other hand, the observation by stereomicroscope has been tried to magnify the gastric and colonic mucosa of operated and biopsed specimen. Magnifing fiberscope was then made to observe the gastrointestinal mucosa. Many reports on gastric mucosa have been been published, however, the pictures were not so clear to evaluate the minute changes. For the purpose of observing minute changes of colonic mucosa, we have a chance to use the new magnifing colonofiberscope, type FCS-ML, made by machida Com-pany. This new fiberscope is .1045 mm in its length. It is a little bit shorter to observe all the part of colonic mucosa. This new one can make the observation of the colonic mucosa possible, by magnifing with focus ring from one to thirty times. This fiberscope can be used as ordinary ones. Comparing other type of magnifing fiberscope, this new one has the higher magnifing power and the clearer pictures can be taken. The indicationn to use this new fiberscope were as follows.1) Differential diagnosis of the nature of polyp, benign or malignant.2) Judgent of the stage of ulcerative colitis, remission or complete heal. We think this f iberscope has a possibility to presume the courseo of ulcerative colitis.抄録全体を表示PDF形式でダウンロード (3256K) -
Kyung Nam Park1977 年 19 巻 3 号 p. 341-349
発行日: 1977/04/20
公開日: 2011/05/09
ジャーナル フリー各種胃疼悪患者832名にたいしX線,内視鏡および直視下胃生検等の諸検査を実施し,その結果を比較考察することによつてX線と丙視鏡検査による胃疾患の確診率を比較検討した. X線検査による胃疾患の確診率は胃癌において85.3%(139/163)胃潰瘍においては83.0%(151/182)胃炎においては87.1%(74/85)を示した.しかしX線検査による誤診率(false negative)は胃癌(1.3%:9/669)と胃潰瘍(2.9%:19/650).においては比較的に低い値を示したが,.胃炎(47.7%:356/747)においては相当に高い値を示した.これは特に胃炎の診断においてX線検査と直視下胃生検検査の結果の間にかなりの相違を示すことを意味する. 一方内視鏡検査による胃疾患の診断結果は,直視下胃生検検査結果と相当に高い値の一致を示し89.2%の確診率であった. 以上の結果から,胃疾患の確実な診断のためにはX線検査以外に,内視鏡と直視下胃生検検査を必ず併用実施する必要性を強調したい.抄録全体を表示PDF形式でダウンロード (985K) -
飯田 洋三, 中村 克衛, 河村 奨, 岡崎 幸紀, 浜田 義之, 森戸 正俊, 清水 道彦, 竹本 忠良, 浦山 澄夫1977 年 19 巻 3 号 p. 350-355_1
発行日: 1977/04/20
公開日: 2011/05/09
ジャーナル フリーWe reported three cases with polypoid cancer which prolapsed through the pyloric ring to the bulbar portion. The two out of these case were type 1 of early gastric cancer, and the other was Borrman type 1 of gastric cancer. Retrospectively, polypectomy could be sufficient to the pedunclated, type 1 of early gastric cancer. However, as far as non-pedunclated type of polypoid cancer, noly-pectomy should not be done, because the cancer cells could be present in the musclar layer of the operated portion. Therefore, surgical treatment should be recommended. When the pedunclated polypoid lesion prolapses to the bulbar portion, spontaneous disappearance may happen owing to the cutting off of the stalk, by the hyperex-tension.抄録全体を表示PDF形式でダウンロード (8801K) -
富士 匡, 河村 奨, 小田原 満, 渡辺 正俊, 浜田 義之, 中村 克衛, 竹本 忠良, 江里 健輔, 村田 武穂, 吉井 隆博1977 年 19 巻 3 号 p. 356-363
発行日: 1977/04/20
公開日: 2011/05/09
ジャーナル フリーA twenty three years old male was admitted to the department of Surgery in our university hospital in 1968 with a history of 5 years duration of abdominnal pain and diarrhea. Surgical treatment was recommended after Barium enema examination in which ileocolic pattern of Crohn's disease was suggestive. Partial ileocolectomy and ileocolostomy were performeed. He was readmitted in our department in June 1976, because of abdominal pain, watery diarrhea, and fever. The lesions occupied in entire colon and ileal end of ileocolostomy. We could not differentiate Crohn's disease or ulcerative colitis in this case, even by Barium enema and colonofiberscopic examination. Patient was treated conservativejy by administering 40mg of Predonisolon and 3g of Salazopyrin per day for 5 months. However, during these treatments, fresh bloody diarrhea developed suddenly without any causes. Frequent blood transfusions were carried out, however, bloody diarrhea did not stopped. Therefore, immediate emergency ileocolectomy and ileorectostomy was per-formed. Subsequently, bloody diarrhea disapeared. However, watery diarrhea continued and patient was gradually emaciated. Three months have passed since reoperation, but he is suffered from short bowel syndsome. The case of Crohn's disease with massive bleeding has not been reported in our country, so far. In the report by Truelove and Pena about the course and prognosis of Crohn's disease which appeared in 1976, only one case, which is similar to our case, is experienced in 55 cases of recurrent Crohn's disease. With the development of the diagnostic technique of bowel disease, the case of Crohn's disease 'with massive bleeding might be increased.抄録全体を表示PDF形式でダウンロード (6997K) -
―特に内視鏡的結石摘出術とを対比して―1977 年 19 巻 3 号 p. 364-367
発行日: 1977/04/20
公開日: 2011/05/09
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1977 年 19 巻 3 号 p. 368-370
発行日: 1977/04/20
公開日: 2011/05/09
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1977 年 19 巻 3 号 p. 371-373
発行日: 1977/04/20
公開日: 2011/05/09
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