All issues
Volume 62 (2020)
- Issue 12 Pages 3029-
- Issue 11 Pages 2929-
- Issue 10 Pages 2255-
- Issue 9 Pages 1575-
- Issue 8 Pages 1455-
- Issue 7 Pages 751-
- Issue 6 Pages 647-
- Issue 5 Pages 527-
- Issue 4 Pages 439-
- Issue 3 Pages 309-
- Issue 2 Pages 135-
- Issue 1 Pages 1-
- Issue Supplement3 Pag･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 50 (2008)
- Issue 12 Pages 2987-
- Issue 11 Pages 2805-
- Issue 10 Pages 2665-
- Issue 9 Pages 2443-
- Issue 8 Pages 1699-
- Issue 7 Pages 1557-
- Issue 6 Pages 1427-
- Issue 5 Pages 1289-
- Issue 4 Pages 1079-
- Issue 3 Pages 323-
- Issue 2 Pages 189-
- Issue 1 Pages 1-
- Issue Supplement3 Pag･･･
- Issue Supplement2 Pag･･･
- Issue Supplement1 Pag･･･
Volume 23, Issue 7
Displaying 1-13 of 13 articles from this issue
- |<
- <
- 1
- >
- >|
-
-USEFULNESS OF MAGNIFYING LAPAROSCOPE-HIROO OHTAKE, HIDEHARU HARADA, SATOSHI TANAKA, KEIICHI TAKAHASHI, YOSH ...1981 Volume 23 Issue 7 Pages 921-931
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe advent of the Olympus new type of laparoscopic equipment of external flash type with an incorporated automatic exposure mechanism has rendered it easier to make observation and photography of the fine structures of the surface of the liver (Figure 1, 8-12). Based on experience with its use in 187 patients (Table 2), a study was made of two magnifying laparoscopes of 2.8 and 4.0 magnifications at the closest distance manufactured by Olympus Co. for its performance and usefulness (Figure 2-4, Table 1). Magnified photographs, taken by these laparoscopes, of peripheral branches of the hepatic vein that appeared on the surface of the liver were shown to illustrate that the scope permit observation of objects up to approximately 25, um in size (Figure 5-7). The laparoscope at a magnification of 8 using a focal-distance-doubling lens gave clear vision of lymph vesicles on the surface of the liver that might otherwise have been overlooked (Figure 13). From our experience, we should like to stress that the magnifying laparoscope provides a very useful means of closely examining the surface of the liver and that observation without magnification may fail to detect changes of diagnostic importance. The study also suggests that film images of at least about 10 magnifications are needed for clinical purposes. It is earnestly hoped that a laparoscope having a zoom mechanism to permit observation with and without magnification will be made available.View full abstractDownload PDF (4764K) -
TADASU FUJI, TSUYOSHI AIBE, KAZUO HARIMA, YUJI NAGATOMI, MASAO KAWASHI ...1981 Volume 23 Issue 7 Pages 933-936_1
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSIt is valuable to make a pathological diagnosis of pancreatic carcinoma before operation, because we have experienced some cases which could not be clearly distinguished between pancreatic carcinoma and chronic pancreatitis based on the findings of endoscopic retorograde pancreatogram. We performed percutaneous fine needle aspiration biopsy of the pancreas following ERCP in seven ceses suspected the presence of pancreatic carcinoma. Three of four cases pancreatic carcinoma were diagnosed definitely or strongly suspected malignancy, and three cases chronic pancreatitis or a short pancreas were diagnosed non-malignant in this cytological study. By this new procedure we wave been able to distiguish between malignant and benign lesions of the pancreas before operation except for one case. This procedure may be fseful to make a pahtological diagnosis of small carcinoma of the pancreas in the near future.View full abstractDownload PDF (3463K) -
TERUO KOUZU, KATSUYA KUGA, YOSHIKAZU YAMAZAKI, MASAHIRO MARUYAMA, TETS ...1981 Volume 23 Issue 7 Pages 937-944_1
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSOn a 52-year-old woman with an icteric type hepatoma a partial hepatecomy was carried out. Embolectomy was performed using the Fogarty's catheter through cholangioscope against the tumor embolus remaining in the intrahepatic bile duct. Furthemore intra-arterial administration of 20mg of MMC and surface irradiation of 5, 000rad with 60Co were carried out. These treatments seemed to be effective radiologically and endoscopically, for they changed immediately the surface of the mucous membrane to smooth scar. However, the degeneration was actually minimal and the tumor was not sensitive to these treatments when studied pathologically. We could follow the change of the radiological and endoscopic findings of the bile duct up to 6 months postoperatively. We also reported a special catheter made of sillicone effective for long-term maintenance of the route for the insertion of cholangioscope.View full abstractDownload PDF (8953K) -
MITSUHIKO TANABE, SUSUMU KAWAMURA, FUMIO ASAGAMI, YOSHITO OOSHITA, TET ...1981 Volume 23 Issue 7 Pages 945-951
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe defined a duodenal ulcer with broad, whitish exudates involving the duodenal bulb almost entirely, as panbulbar ulcer, and experienced 4 cases in 233 duodenal ulcer cases. We classified the panbulbar ulcer into two types. As the first type, we experienced 3 cases which were considered as a repeated case of duodenal ulcer. In these cases demonstrating phthisis bulbi roentogenologically, the whitish exudates were always found in the duodenal bulb endoscopically during the period of treatment. As the second type, we experienced one case diagnosed as acute duodenal ulcer with broad, superficially whitish exudates. In contrast to the first type, a deformity of the duodenal bulb was not so significant roentogenologically. From the study of these cases, endoscopical examination, especially with a small-caliber panendoscope, would provide to us many important informations on the panbulbar ulcer. Performing both endoscopic and fluoroscopic examinations are more useful than doing either one for the decision of operative indication.View full abstractDownload PDF (5078K) -
SHINICHIRO FUJIKURA, MICHIO TANAKA, YOSHIKI KUBOTA, KAZUHIKO SHIMADA, ...1981 Volume 23 Issue 7 Pages 952-958_1
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDuodenal lymph nodule has been given a little notice and only mentioned in some case reports. The present study attempted to estimate the clinical significance of this tissue through the endoscopic examination. Duodenal lymph nodule was searched endoscopically with the magnifying method and the methylene-blue staining method on 2, 493 cases (male: 1897, female : 596). Duodenal lymph nodule was found in smaller percentage (79 cases, 3.17%) than that of the terminal ileum or colon, and was mostly localized in the duodenal bulb (72 cases, 91.4%). It was more frequently found in male (69 cases, 3.64%) than femle (10 case, 1.68%), and tended to decrease with age after puberty, though showing a spike-shaped peak in the 5th. decade. The peptic ulcer or the moderate'-severe atrophic gastritis was of to i coexisted in the upper gastrointestinal tract. In conclusion, we assume that duodenal lymph nodule has some different significance from other intestinal lymph nodule, and further study on functional significance of this tissue is needed.View full abstractDownload PDF (2364K) -
-WITH SPECIAL REFERENCE TO THE ENDOSCOPIC OBSERVATION.-KAZUMICHI HARADA, KINICHI YOKOTA, MITSUHIRO SOHMA, TAKASHI KITAGAWA, S ...1981 Volume 23 Issue 7 Pages 961-967_1
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSAs tuberculosis of the stomach is rare, here we presented 3 cases of tuberculosis of the stomach. First case was a 46 yerar old male who was found to have large irregular ulcer at the posterior wall of upper corpus of the stomarh. The base of the ulcer was rogh and uneven. The endoscopic biopsy showed the epitheloid nodule with Langhans giant cells. Streptomycin was injected to the ulcer through endoscopy. After 3 months treatment a scar of the ulcer was seen. Second case: A 67 year old male who had an early cancer in the antrum of the stomach and as well as submucosal tumor (S. M. T) in the anterior wall of the upper part of the stomach. An operation was done and S. M. T. was found to be tuberculosis. Third case: A 66 year old female who had a tumor with two irregular ulcerations. This was confirmed by endoscopic biopsy. A chemotherapy such as PAS, KM, INAH was administered systemically and in addition streptomycin was injected to the ulcer through the endoscopy. About 4 months later, the tumor became smaller in size and the scer of the ulcer was seen. It is very rare that gastric tuberculosis was successfully treated conservatively and these are also the first time to use anti-tuberculous drugs to inject locally through the endoscopy.View full abstractDownload PDF (7866K) -
-A ENDOSCOPIC FOLLOW-UP STUDY-FUMINORI MORIYASU, KAZUICHI OKAZAKI, TOMIKAZU YAMAMOTO, TADAHIKO SHIOM ...1981 Volume 23 Issue 7 Pages 968-974_1
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSPercutaneous transhepatic portography and selective obliteration of the coronary vein have been used as the management of patients bleeding from esphageal varices. We used stainless steel coils to obstruct flow in the cronary vein and esophageal varices. In order to prevent recanalization of vessels 50% glucose solution and thrombin solution were added to stainless steel coils. Twelve patients aged 33 to 74 years were treated. Eleven of them had at least one major bleeding episode and five of them were treated during acute bleeding. The obliterative treatment was followed by rebleeding in one case. One patient died of gastric ulcer bleeding two days after the procedure. In one patient devascularization operation was added to PTP-O. In 11 patients, esophageal endoscopic examinations were performed as a follow-up examination one to 8 months (median 4.2 months). In nine patients (88%) esophageal varices improved endoscopically. Of these nine, improvement of colour factor was found in 5, form factor in 9 and roundness factor in 8. Though in three patients esophageal varices progressed again as before one to three months later, no patient rebled. Transhepatic obliteration of esophageal varices using combination of steel coil, 50% glucose and thrombin prevents recurrent bleeding effectively for several months.View full abstractDownload PDF (4714K) -
MASAO KAWASHIMA, MITSURU SAITO, HIROSHI KAWANO, KAZUNORI GOTO, YOSHINO ...1981 Volume 23 Issue 7 Pages 977-981_1
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 56-year-old female had been followed up as having rheumatoid arthritis. She visited our hospital with complaints of anorexia and hunger pain at the epigastrium as if she had peptic ulcer. Endoscopic examination of the stomach showed spotted redness, and biopsied specimens revealed amyloid deposits. Endoscopic examination of the sigmoid colon, rectum, and small intestine also showed redness, and biopsy revealed amyloid deposits. This seemed secondary amyloidosis. On the other hand, many endoscopic findings of amyloidosis have been reported, but specific findings were not present. When we recognize such slight endoscopic findings, for example spotted redness, it is important that we also think of a possibility of amyloidosis from a view point of early diagnosis. This patient is still followed in our outpatient department with clinical improvement by 5-months' administration of 5ml / day of dimethyl sulfoxide.View full abstractDownload PDF (5509K) -
JUNJI YAMADA, JUN TOMODA, ITUO AMIOKA, TAKASHI YASUHARA, SHOJIRO SAKAK ...1981 Volume 23 Issue 7 Pages 982-988_1
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSCase: H. I. a 61-years old male.In May 1972, he was admitted to Mitoyo general hispital for health survey.Several cherry-sized negative shadows were observed on the antrum by X-ray and subsequent endoscopic study revealed localized swelling of mucosal folds and several oval protrusions with central depression. These findings suggested erosive gastritis, and the patient was followed up by repeating X-ray and endoscopic examinations four times during about five years. In June 1977, he noticed hunger pain in the epigastrium for the first timt. The final X-ray and endoscopic examination revealed a deep ulceration on the lesser curvature of pyloric region. The margin of the ulcer was elevated nodularly and malignant change was suspected, but biopsy demonstrated no maligmant cells. Gastric resection was done including extirpation of second regional lymphnode group. Histologically reactive lymphoreticular hyperplasia of high degree was seen in the antrum. Sarcoma cells localized in the mucosa and submucosa near the deep ulcer were come in contact with the reactive lymphoreticular hyperplasia, and regional lymphnodes were free of malignancy. From these findings, this case was diagnosed as primaly early gastric reticulum-cell sarcoma associated with reactive lymphoreticular hyperplasia.View full abstractDownload PDF (3263K) -
MASAYOSHI KIMURA, HIROHUMI NIWA, YOJI HIRAYAMA, HIROSHI OKA, TOSHITSUG ...1981 Volume 23 Issue 7 Pages 989-995
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 48-year old male was admitted because of melena and increasing ascites. He recently had surgical procedures for esophageal varices under the diagnosis of liver cirrhosis. Laboratory studies suggested the presence of hepatoma. Endoscopic examination showed a picture like that of multiple submucosal tumors at the second portion of the duodenum. Postmortem examination disclosed hepatocellular carcinoma associated with cirrhosis and its metastasis to the duodenum causing such endoscopic appearance. Tumor thrombi were seen only in the portal vein and its branches, pancreas and duodenum. There was no metastasis in other organs including the lungs or lymph nodes surrounding the portal vein. So on this case, it seems reasonable to conclude that the duodenal metastasis was brought by retrograde tumor thrombi through the portal vein system. To our knowledge, this is the first report of hepatoma with metastasis to the duodenum causing polypoid lesions by retrograde tumor thrombi.View full abstractDownload PDF (1263K) -
FUMIO ASAGAMI, SUSUMU KAWAMURA, TADASHU FUJI, MICHIHIKO SHIMIZU, SHIGE ...1981 Volume 23 Issue 7 Pages 996-1000
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe biiobed gallbladder is particularly rare among the malformations of the cholecyst and only 11 cases having this abnormality are reported, so far. Regarding to these reported cases, 2 cases were diagnosed by means of oral cholecystography, while all of the others were accidentaly found through the operation or autopsy. Recently, we experienced a case of possible biiobed gallbladder diagnosed by ERCP examination. From the analysis of these reported cases including ours, we brought forward a new classification of its deformity from a correlation between the deformity and axis of the gallbladder.View full abstractDownload PDF (729K) -
1981 Volume 23 Issue 7 Pages 1001-1050
Published: July 20, 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (8296K) -
1981 Volume 23 Issue 7 Pages 1053
Published: 1981
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (85K)
- |<
- <
- 1
- >
- >|