巻号一覧
19 巻, 5 号
選択された号の論文の9件中1～9を表示しています
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赤上 晃1977 年 19 巻 5 号 p. 509-521
発行日: 1977/08/20
公開日: 2011/05/09
ジャーナル フリーThis report is a study of the fine structure of the gastric erosions. In order to investigate this precise structure on the surface of the gastric erosions, endoscopic close-up observation combined with dying method was carried out. To confirm the endoscopic findings, biopsy particles and resected specimens of the gastric erosions were observed by dissecting microscope, and as the final step all the biopsy particles and resected specimens were studied histologically. In this investigation, four types of gastric erosions were selected as materials. They were the erosion with blood clot (type I), the erosion with white fur (type II), the erosion with slightly depressed hyperemic floor which is free from blood clot and white fur (type III), and the erosion with slightly depressed bluish floor (type IV). Results; 1) In cases of the type I and type II erosions, the dissecting microscopic findings showed no significant difference between them. That is, the distribution of the residual pits was irregular, and the size and the shape of the pits were not uniform. Histologically, no epithelial regeneration could be detected on the surface of these types of the erosions. 2) In cases of the type III and type IV erosions, the regenerative epithelia could be recognized on the erosion both by endoscopic close-up and dissecting microscopic observation. 3) The endoscopic application of methylene blue method was useful for the detection of the intestinal metaplasia on the floor of the erosion. In cases of the type III erosion, intestinal metaplasia was observed in 60.0%. In cases of the type IV erosion, intestinal metaplasia was observed in 20.7%.抄録全体を表示PDF形式でダウンロード (10350K) -
三嶋 孝, 奥田 茂, 大島 明1977 年 19 巻 5 号 p. 522-531
発行日: 1977/08/20
公開日: 2011/05/09
ジャーナル フリーIn order to evaluate the possibility of malignant change from benign ulcer, we followed up 383 cases of ulcer by endoscopic biopsy for 6 months to 12 years, which were initially diagnosed as to be benign histologically. 1) During the following time, 7 ulcers were revealed to be carcinoma by follow up biopsy, and 4 cancers developed in other site of the stomach. Examining the clinical course of the former 7 cases, there were none showing the possibility of the malignant change from a benign ulcer, though initial biopsy was negative. 2) The incidence of cancer was compared with the expected number of incidence in the general population. Observed cancer for the whole follow-up period showed a substantial excess :11 observed, 3.34 expected. (p<0.01) However, of 323 cases which followed over 1 year, no significant excess was observed : 7 observed, 3.24 expe-cted. (p>0.05) This result seems to suggest that inevitably some cases of malignant ulcer, erroneusly diagnosed as benign, would be included in the follow-up group, in despite of using endoscopic biopsy. Therefore, a benign ulcer rarelly undergoes malignant change, but we must follow up carefully the ulcer patient as high risk group for gastric cancer clinically.抄録全体を表示PDF形式でダウンロード (1313K) -
河村 奨, 清水 道彦, 富士 匡, 渡辺 正俊, 小田原 満, 浜田 義之, 榊 信宏, 竹本 忠良1977 年 19 巻 5 号 p. 532-536
発行日: 1977/08/20
公開日: 2011/05/09
ジャーナル フリーNitrous-oxide and oxygen has had a wide use as an analgesic in midwifery and in dental surgery, however, it has not been used for the relief of the anxiety, the fear and the pain on endoscopic retrograde choaingio-pancreatography (FRCP) and colonofiberscopic (CF) examination. The conditions necessary for these satisfactory examination are analgesia, freedom from abdominal distress and mental sedation without the patient losing the ability to co-operete. A study of the inhalation of 30: 70 nitrous-oxide and oxygen (Anesoxyn-30) has been undertaken on forty-one patients undergoing ERCP and CF. We convinced that this inhalational analgesia was effective in 95% of the cases, and had more side effects in CF than FRCP. By the reasons of its safetiness and the means of convenience, the practical application of this inhalatonal analgesia is very useful for patients and doctors, and the rapid recovery from side effects following of the inhalation means that ERCP and CF can be safely and easily undertaken as an outpatient procedure.抄録全体を表示PDF形式でダウンロード (558K) -
亀谷 さえ子, 春日井 達造, 久野 信義, 小栗 剛, 松浦 昭, 藤原 勝彦, 栗本 組子, 加藤 修1977 年 19 巻 5 号 p. 537-550
発行日: 1977/08/20
公開日: 2011/05/09
ジャーナル フリーEndoscopic pancreatic cytology and retrograde cholangiopancrestography (ERCP) were performed to 81 patients. Cytological materials were collected by aspiration after secretin-stimulation, brushig, pumping with saline and direct suction. By cytodiagnosis, positive results were obtained in 20 cases of 36 cases (55.6%) of pancreatic carcinoma. In 14 cases of carcinoma of the pancreatic head, positive results were obtained in 11 cases (78.6%) and in 20 cases of the body and tail, positive results were obtained in only 7 cases (35.0%). There were three false positive cases by cytodiagnosis. These clinical final diagnoses were all chronic pancreatitis. Two cases were diagnosed as malignancy and one case as chronic pancreatitis by ERCP. It is difficult to differentiate pancreatic malignancy from chronic pancreatitis in the diagnosis of ERCP, and to differentiate cells of well diffrentiated tubular adenocarcinoma from atypical hyperplastic cells at inflammation, in the cytodiagnosis of pure pancreatic juice.抄録全体を表示PDF形式でダウンロード (15881K) -
飯田 洋三, 中村 克衛, 河村 奨, 岡崎 幸紀, 榊 信広, 竹本 忠良1977 年 19 巻 5 号 p. 551-555
発行日: 1977/08/20
公開日: 2011/05/09
ジャーナル フリーPDF形式でダウンロード (2008K) -
岩砂 三平, 小林 世美, 春日井 達造, 加藤 知行, 鈴木 亮而, 須知 泰山1977 年 19 巻 5 号 p. 557-562_1
発行日: 1977/08/20
公開日: 2011/05/09
ジャーナル フリーA 50-year-old woman visited the Aichi Cancer Center Hospital with epigastric pain of three year's duration. Physical and laboratory examinations revealed no abnormalities except for positive occult blood in the stools. An upper GI series and gastroscopy revealed multiple polypoid lesions from the antrum to the middle body and a healing ulcer with smooth converging folds on the posterior wall of the middle body of the stomach. The diagnosis was consistent with gastric polyposis and a benign healing ulcer. Biopsy revealed adenocarcinoma from both polypoid lesions and the intervening mucosa. Total gastrectomy was performed. The mucasal aspect of the resected stomach showed a fairly sharply demarcated, dark red discolord and extensive lesion occupying a large area from the antrum to the upperr body, and consisting of shallow depressions inter-mingled with small round elevations, and a healing ulcer with converging folds on the posterior wall of the midbody. Multiple sections of the entire lesion reveald it to be of a tubular adenocarcinoma of superficial spreading type, involving only its mucosal layer, even sparing its deepest portion. The carcinoma was largely of moderate differentiation. The area of the healing ulcer was largely covered by a non-neoplastic regenerative epithelium.抄録全体を表示PDF形式でダウンロード (7557K) -
斎藤 清二, 本間 清和, 斎藤 征史, 丹羽 正之, 小越 和栄, 佐々木 寿英, 赤井 貞彦, 角田 弘1977 年 19 巻 5 号 p. 563-570_1
発行日: 1977/08/20
公開日: 2011/05/09
ジャーナル フリーSmall intestinal fiberscopy and endoscopic biopsy was effective for definitive diagnosis in a case with leiomyosarcoma of the upper jejunum. A 38 year-old man was admitted on October 13, 1976, to our hospital because of abdominal pain for several months duration. There was a firm mass of 8×7 cm in its size with slight tenderness in his hypochondrium. Laboratory data on admission revealed acute inflammation and positive occult blood of stool. Routine upper G. I, series, gastro-duodenoscopy, hepatic scintigraphy, barium enema, endoscopic retrograde pancreatography and 67 Ga scintigraphy gave no positive findings. Small bowel radiography with double contrast method showed a small barium fleeck in the proximal portion of the jejunum; extravasation and pooling of contrast medium into extra-canalicular mass was also seen. Selective celiac and superior mesenteric arteriography revealed a large number of tumor vessels in arterial phase and apparent tumor stain in venous phase. On endoscopic examination with small intestinal fiberscope (SIF-B, Olympus), submucosal tumor with central ulceration was observed at the beginning part of the jejunum. A biopsy specimen which was obtained from the ulcer margin revealed myogenic tumor. About 7.5×6×5cm sized mass with cavity in its center was resected from the proximal part of the jejunum (about 5cm from the Lig. of Treitz). Several metastatic lesions were found on the liver surface during the operation. The tumor was confirmed as leio. myosarcoma of the jejunum histologically. This case might be the first to be diagnosed as jejunal leiomyosarcoma with endoscopic observation and biopsy, although several cases of small intestinal carcinoma and lymphoma diagnosed with endoscopy have been reported.抄録全体を表示PDF形式でダウンロード (6983K) -
1977 年 19 巻 5 号 p. 571-585
発行日: 1977/08/20
公開日: 2011/05/09
ジャーナル フリーPDF形式でダウンロード (2435K) -
1977 年 19 巻 5 号 p. 586-596
発行日: 1977/08/20
公開日: 2011/05/09
ジャーナル フリーPDF形式でダウンロード (1665K)
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