巻号一覧
20 巻, 3 号
選択された号の論文の13件中1～13を表示しています
- |<
- <
- 1
- >
- >|
-
三宅 健夫1978 年 20 巻 3 号 p. 147
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーPDF形式でダウンロード (128K) -
1978 年 20 巻 3 号 p. 148-168
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーPDF形式でダウンロード (2944K) -
1978 年 20 巻 3 号 p. 169-186
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーPDF形式でダウンロード (2493K) -
1978 年 20 巻 3 号 p. 187-201
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーPDF形式でダウンロード (2521K) -
1978 年 20 巻 3 号 p. 202-216
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーPDF形式でダウンロード (2500K) -
吉田 操, 林 恒男, 吉田 克己, 井手 博子, 鈴木 茂, 山田 明義, 遠藤 光夫1978 年 20 巻 3 号 p. 217-221_1
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーEndoscopic polypectomy was successfully performed to 6 cases of esophageal tumor, using loop snear with high frequency electric current. Results of histologic examination of these tumors were esophageal polyps (2), inflammatory granuloma (I), epitherial hyperplasia (I) and esophageal leiomyomas (2). There was no complication. No patients complaimed of pain or discomfort. They discharged on third day after endoscopic polypectomy and followed at out-patient clinic. Esophageal ulcers after polypectomy were covered by regenerated esophageal epitherial cells untill 10 days and completely healed on 30 days after polypectomy. We usually apply endoscopic polypectomy for intra-luminal benign esophageal tumors. Leiomyomas of the esophgus are mostly intramural tumors but some of them are orignated from muscularis mucosa and protrude into the lumen forming intraluminal tumors. These superfiscial leiomyomas can be removed by endoscopic polypectomy. These 6 polypectomy cases were performed among 5000 esophagoscopy in 5 years in our institute.抄録全体を表示PDF形式でダウンロード (2203K) -
―急性一酸化炭素中毒患者における急性上部消化管病変―野口 正彦, 川野 淳, 笠原 彰紀, 益沢 学, 鎌田 武信, 房本 英之, 高橋 道知, 寒川 昌明, 杉本 侃1978 年 20 巻 3 号 p. 222-230
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーThe incidence of gastrointestinal bleeding was studied in 248 patients with carbon monoxide poisoning. Gastro-intestinal bleeding was found in 21 cases (8.5%). In severe cases whose condition did not improved the incidence of gastrointestinal bleeding was in the high frequency of 24.5% (12 of 49 cases). In 7 out of 21 cases of gastrointestinal bleeding, it occured within 24 hours after poisoning, and within one week 19 cases had complicated with bleeding. In this bleeding group, the arterial pO2 was lower than that of non-bleeding group. In six cases to which the endoscopic examination was performed, acute gastric ulcer was found in one case, hemorrhagic gastritis in three, multiple erosion in the stomach in one and duodenal ulcer with hemorrhagic gastritis in one. Gastric leisons were mainly located in corpus. These results suggested that hypoxia in the gastric mucosa was one of the important factors on the occurrence of acute gastric lesions.抄録全体を表示PDF形式でダウンロード (1776K) -
吉本 信次郎, 別府 真琴, 宮地 知男, 由利 秀久, 土居 幸子, 松尾 導昌, 川井 啓市1978 年 20 巻 3 号 p. 231-237
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーThe lnversed observation in the rectum was performed in 24 cases of 60 colonscopic examination successfully, This method was done without difficulty and with no pain to the patient. No complication was experienced in this series. The lesions in the rectum and anal canal were able to be observed in a distant view, and from oral side by this method. We could obtain more precise image of the lesions by this method. So we would like to suggest that this method was useful in diognosing those lesions.抄録全体を表示PDF形式でダウンロード (2318K) -
竜田 正晴, 奥田 茂, 今西 清, 田村 宏, 谷口 春生1978 年 20 巻 3 号 p. 238-252
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーBy the endoscopic Congo red test, gastric polyps (104 cases) are classified into 3 types ; type 1) those located in the acid-secreting area and having acid-secreting activity, type 2) those located in the acid-secreting area, but having no acid-secreting activity, and type 3) those located in the nonacid-secreting area and having no acid-secreting activity. Type 1 polyps are not accompanied by fundal gastritis nor intestinal metaplasia. In three of 8 cases, polyps are numerous, and they are located only in the gastric body. They are not associated with polyposis of the colon and any ectodermal change. These polyps are hamartomas of the oxyntic gland ; the main histological abnormality is cystic dilatation of the oxyntic gland. In another 5 cases, one or two polyps are found in the gastric body. These polyps are hypertrophic mucosal tags of the oxyntic gland. Type 2 polype are accompanied by moderate or little fundal gastritis and intestinal metaplasia. However, polyps are not surrounded with intestinal metaplasia. In eight of 9 polyps, they are histologigically hyperplastic polyps. Another one polyp is a hamartoma of the pyloric gland ; the main abnormal histology is a downgrowth of cystically dilated pyloric glands. Type 3 polyps are found in 87 of 104 patients. They are accompanied by severe fundal gastritis and severe intestinal metaplasia. These polyps are surrounded with the intestinal metaplasia, and are histologically ATP or hyperplastic polyp.抄録全体を表示PDF形式でダウンロード (3833K) -
内田 純一, 片岡 和博, 石原 健二, 茎田 祥三, 小堀 迪夫, 木原 彊1978 年 20 巻 3 号 p. 253-257
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーA case of esophagial ulcers associated with doxycycline therapy was reported. 50-year-old woman came to us because of the onset of retrosternal burning pain. She had taken two capsules of doxycycline hydrochlorate (200 mg) the previous night just before going to sleep. She had no history of dysphagia, heart disease or esophagial stenosis. The roentgenogram of the esophagus revealed slightly irregular wall of midesophagus in 1 cm length (Fig. 1). Esophagoscopy revealed three small esophagial ulcers, 5 mm in diameter, laying in the transvers axis of esophagus, located 24 cm from the incisors (Fig. 2). Biopsy specimens of the ulcers were reported as benign esophagial ulcer with round cell infiltration (Fig. 3, 4). Roentgenography and Esophagoscopy, three weeks later, showed the ulcers to be completely healed (Fig. 5, 6). The etiology of esophagial ulcer associated with drug therapy and special diet of Japanese was discussed.抄録全体を表示PDF形式でダウンロード (2510K) -
下山 孝俊, 北里 精司, 高木 雄二, 石川 喜久, 石井 俊世, 内田 雄三, 三浦 敏夫, 調 亟治, 辻 泰邦1978 年 20 巻 3 号 p. 259-263_1
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーA 76-year-old man was referred to Nagasaki University Hospital on May, 1975, complaining of blood in stools during the past one month. Digital examination of the rectum disclosed a polypoid tumor on the anterior wall just above the anorectal junction. Colonof iberscopic examination revealed three sessile polypoid tumors at 12, 7 and 8 o'clock just above the dentate line. The surface of the tumors was smooth, brown colored and bled easily on manipulation. The removal of the polypoid tumors was performed on 10 June, 1975, On resected specimens, the tumors were with a size of 2 × 0.8 × 0.7cm, 0.7 × 0.5 × 0.5cm and 0.7 × 0.7 × 0.5cm, and were histologically revealed to be malignant melanoma with malanin deposit. Proctosigmoidectomy and wide excision of the anal skin were carried out on 30 January, 1976, A few involved lymphnodes were removed, but there was no other sign of spread. Subsequent histological examination proved to be a malignant melanoma arising from the anorectum. He remained well for a brief time, but metastases soon became evident in the right II nd rib, skin and lymphnodes of both groins and axillae. He died on 5 sept., 1976. Malignant melanoma of the anorectum is very rare and has been discussed with a review of the literature.抄録全体を表示PDF形式でダウンロード (2616K) -
荒川 哲男, 小野 時雄, 小林 絢三1978 年 20 巻 3 号 p. 264-267_1
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーThe fluorescence endoscopy was first reported by Katu in 1975. We took regards that there was great correlation between local hemodynamics in the gastrointestinal mucosa and the time required until fluorescence appeared after the intravenous administration of 10% sodium fluorescein dye. The aim of this study was to observe hemodynamics around the ulcerative lesions more clearly by modifying the original method at the point of excitation of the dye. The FITC interference filter which was commonly used for excitation of the dye had another characteristics to transmit red light, 630nm of peak frequency, without exciting potential. This characteristics was necessary to keep vision until fluorescence appeared when we tried to pursue fluorescence endoscopy. But, because of this chischaracteristics, fluorescent light observed through the barrier filter was interfered with the red light. Con-sequently, fluorescent light was obscured and difficult to detect if it was feeble. On this conception, the red light must be suppressed as weak as possible to keep orientation endoscopically. We succeeded to satisfy this necessity by attaching BG 14 (an excitation filter, Olympus company limited) with the F1TC interference filter. In clinical cases, we could observed fluorescent light more clearly and recognize localization more sharply as nearly natural green color of fluorescence. From these results, we thought we could applicate this modified method in the clinical field.抄録全体を表示PDF形式でダウンロード (1675K) -
―試作前方斜視型Fiberscopeの使用経験―三輪 正彦, 野見山 哲, 崎田 隆一, 鈴木 荘太郎, 原沢 茂, 谷 礼夫, 三輪 剛1978 年 20 巻 3 号 p. 268-273
発行日: 1978/03/20
公開日: 2011/05/09
ジャーナル フリーFGI-FO, the experimental model of forward oblique viewing panendoscope, made by Machida-Seisakusho, Japan, was used in routine endoscopy on 80 patients / 83 times of examination and in emergency endoscopy on 8 patients / 8 times of examination. FGI-FO has a spherical distal end. A lens for observation, light suppling system, a small hole for air or water supply are arranged on the forward face. Thirty cm of distal end is more flexible than that of GIF-K (Olympus). For these distinctive feature, observation, with FGI-FO, of cardia (with reversal viewing), angulus and 2nd portion of duodenum was done more easily than with GFI-K. In emergency endoscopy, using FGI-FO, lens-cleaning and sucking of gastric juice and blood were done well and in routine endoscopy of postgastrectomy patients, obser-vation of remnant stomach and insertion to afferent and efferent limb were done easily. So we made a conclusion that FGI-FO is one of the useful panendoscopes for routine examination and emergen-cy endoscopy.抄録全体を表示PDF形式でダウンロード (994K)
- |<
- <
- 1
- >
- >|