日本消化器内視鏡学会雑誌
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
19 巻, 7 号
選択された号の論文の9件中1~9を表示しています
  • 1977 年 19 巻 7 号 p. 733-749
    発行日: 1977/10/20
    公開日: 2011/05/09
    ジャーナル フリー
  • 1977 年 19 巻 7 号 p. 750-818
    発行日: 1977/10/20
    公開日: 2011/05/09
    ジャーナル フリー
  • 1977 年 19 巻 7 号 p. 819-820
    発行日: 1977/10/20
    公開日: 2011/05/09
    ジャーナル フリー
  • 吉森 正喜, 岡 裕爾, 吉田 茂昭, 河村 譲, 平崎 登志夫, 小黒 八七郎, 福富 久之, 崎田 隆夫
    1977 年 19 巻 7 号 p. 821-825
    発行日: 1977/10/20
    公開日: 2011/05/09
    ジャーナル フリー
    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.
  • 大岩 俊夫, 松坂 俊光
    1977 年 19 巻 7 号 p. 827-835
    発行日: 1977/10/20
    公開日: 2011/05/09
    ジャーナル フリー
    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.
  • ―第三報Secretin刺激の応用―
    寺田 昭, 平松 紘一, 野口 正彦, 川野 淳, 房本 英之, 益沢 学, 鎌田 武信
    1977 年 19 巻 7 号 p. 837-843
    発行日: 1977/10/20
    公開日: 2011/05/09
    ジャーナル フリー
    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.
  • 佐々木 宏晃, 河野 秀親, 三輪 洋子, 田中 三千雄, 青木 暁, 長廻 紘
    1977 年 19 巻 7 号 p. 844-848_2
    発行日: 1977/10/20
    公開日: 2011/05/09
    ジャーナル フリー
    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.
  • 浦上 慶仁
    1977 年 19 巻 7 号 p. 849-851
    発行日: 1977/10/20
    公開日: 2011/05/09
    ジャーナル フリー
    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.
  • 1977 年 19 巻 7 号 p. 852-855
    発行日: 1977/10/20
    公開日: 2011/05/09
    ジャーナル フリー
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