GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
Volume 19, Issue 7
Displaying 1-9 of 9 articles from this issue
  • 1977 Volume 19 Issue 7 Pages 733-749
    Published: October 20, 1977
    Released on J-STAGE: May 09, 2011
    JOURNAL FREE ACCESS
    Download PDF (2135K)
  • 1977 Volume 19 Issue 7 Pages 750-818
    Published: October 20, 1977
    Released on J-STAGE: May 09, 2011
    JOURNAL FREE ACCESS
    Download PDF (10306K)
  • 1977 Volume 19 Issue 7 Pages 819-820
    Published: October 20, 1977
    Released on J-STAGE: May 09, 2011
    JOURNAL FREE ACCESS
    Download PDF (367K)
  • MASAYOSHI YOSHIMORI, YUJI OKA, SHIGEAKI YOSHIDA, YUZURU KAWAMURA, TOSH ...
    1977 Volume 19 Issue 7 Pages 821-825
    Published: October 20, 1977
    Released on J-STAGE: May 09, 2011
    JOURNAL FREE ACCESS
    Metastases to the stomach from malignant tumors of other organs are not frequent. They are usually discovered at autopsy. Endoscopic examination is essential to the clinical diagnosis of those tumors. So far endoscopic features of metastatic tumors of the stomach have not been disc ssed satisfactorily. Five cases of metastatic tumors observed endoscopically were reported here and the following classification of endoscopic features was proposed. 1. Single tumor type, with or without central depression 2. Multiple tumor type 3. Diffuse type Recent advances in surgery, chemotherapy, and radiation therapy sometimes bring fairly good results to the patients with malignant diseases, Gastric metastasis does not necessarily mean the late advanced stage of malignant diseases. Endoscopic examinations are helpful for the early detection and proper treatment of metastatic lesions of the stomach, and it is very important for the prognosis of the patients with malignant diseases.
    Download PDF (1772K)
  • TOSHIO. OIWA, TOSHIMITHU MATSUZAKA
    1977 Volume 19 Issue 7 Pages 827-835
    Published: October 20, 1977
    Released on J-STAGE: May 09, 2011
    JOURNAL FREE ACCESS
    Ten cases who were precise followed up from the initial stage were studied among patients with the acute gastric ulcers of the antrum. Seven cases were males and three females. Age of the patients ranged from 14 to 73. Predominant clinical symptoms were sudden onset of epigastralgia, vomiting or hematemesis. Roentgenologic studies performed at very early stage after the onset of symptoms revealed the remarkable mucosal edema of the gastric antrum and angulus, and sometimes irregular barium flecks without distinct niches. As the time passed, faint ill-defined barium flecks gradually changed to big irregular distinct niches. Ulcers were often multiple. Enboscopic studies demonstrated mucosal edema with dark reddish hemorrhagic erosions in the antrum which changed gradually to ulcers in necrotic area, becoming fused and developing big distinct ulcers. This process took about 24 hours. Two to three weeks after the onset of symptoms (clinical signs) the ulcers gradually healed, demonstrating the obvious convergence of mucosal folds and II c-ilke pattern with mild marginal elevation. About one month after the onset of symptoms, some lesions became scarred or Ha-like pattern with granular basis of the center.
    Download PDF (9030K)
  • 3. APPLICATION OF SECRETIN STIMULATION
    AKIRA TERADA, KOICHI HIRAMATSU, MASAHIKO NOGUCHI, SUNAO KAWANO, HIDEYU ...
    1977 Volume 19 Issue 7 Pages 837-843
    Published: October 20, 1977
    Released on J-STAGE: May 09, 2011
    JOURNAL FREE ACCESS
    The authors studied on the application of secretin, which was reported to increase the amount of the mucuscomponents in the gastric juice, to the mucus stainingin vivo of the stomach with azure A.Experimentally, the intensity of the mucus stained in vitro and in vivo was measured by the reflection modechromatoscanner, using rats. Secretin increased the staining intensity of the surface mucus of the stomach in 15 minutes in rats.In healthy young adults, also, the staining intensity of the mucus was increased by the administration of secretin (1.0u/kg) prior to in vivo staining. The poorly stained area adjacent to gastric ulcer scar could be observed more clearly.
    Download PDF (2361K)
  • HIROAKI SASAKI, HIDECHIKA KAWANO, YOKO MIWA, MICHIO TANAKA, GYO AOKI, ...
    1977 Volume 19 Issue 7 Pages 844-848_2
    Published: October 20, 1977
    Released on J-STAGE: May 09, 2011
    JOURNAL FREE ACCESS
    The ileocecal area is often involved by inflammatory bowel diseases such as tuberculosis, Crohn's disease, ulcerative colitis and so on. It is interesting how the villous form of the ileocecal border is transformed in these conditions. The villous form of the ileocecal border was examined by means of dissecting microscope. In this paper normal villous form of the ileocecal border is mentioned. Biopsy cases (41 cases), reseced cases (14 cases), and necropsy cases (38 cases) have been studied. Normal villous form is classified into three categories. 1, finger-shaped villi, 2, leaf-shaped villi, 3, ridge-shaped villi. In the ileocecal area, finger-shaped villi are transformed into leaf-shaped villi, next into ridge-shaped villi, and Gastroenterological Endoscopy finally into the colon mucosa. The ileocecal border is on the top of Bauhin's valve or slightly on the anal site of it. The dissecting microscope appearances of nonspecific ulcer and Crohn's disease are demonstrated in figure 6 and 7. These changes of the villous form are easily observed using magnifying colonoscope which has recently developed. More study about abnormal villous form is required.
    Download PDF (2335K)
  • YOSHIHITO URAKAMI
    1977 Volume 19 Issue 7 Pages 849-851
    Published: October 20, 1977
    Released on J-STAGE: May 09, 2011
    JOURNAL FREE ACCESS
    Technique and merits of straighting the fiberscope within the stomach at ERCP was discussed in details. When duodenofiebrscope was reached to the papilla of Vater, the patient was moved from the left side position to the prone position, then fiberscope was withdrown gradually. By this method the body of the fiberscope within the stomach was straightened. After this procedure cannulation into the papilla of Vater was performed.This method has some advantages as follows. (1) The whole aspect of the pancreatic duct can be visualized without hindrance of the duodenoscope. (2) Cannulation in the prone position is convienient to get the pancreatic duct as a frontal figure without changing the patient's position. (3) Patient's torrelance is decreased with eliminating compression by the fiberscope to the greater curvature of the stomach. (4) Damage of the fiberscope by X ray exposure may be prevented at minimum because insertion length of the fiberscope is shortened.
    Download PDF (3516K)
  • 1977 Volume 19 Issue 7 Pages 852-855
    Published: October 20, 1977
    Released on J-STAGE: May 09, 2011
    JOURNAL FREE ACCESS
    Download PDF (572K)
feedback
Top