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Volume 25, Issue 5
Displaying 1-14 of 14 articles from this issue
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Atushi OHKUNI, Takashi NAKAMURA, Kenji ITOKAZU, Yoshimichi ITOH, Shige ...1983 Volume 25 Issue 5 Pages 689-695
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSRecently, H2-recepter antagonist has become a medicine widely used clinically in Japan, but it is known that its nitroso-chemical compound has mutagenicity. There have appeared many papers reporting that the patients with duodenal ulcers rarely suffered from gastric carcinoma simultaneously. Therefore, we felt it was necessary to find the actual ratio of discovering duodenal ulcers associated with gastric carcinoma, before the use of this drug become popular. We examined 1263 cases of duodenal ulcer endoscopically in our hospital and found 7 cases of gastric carcinoma (0.55%) (Table 6). Next we calculated the ratio of discovering gastric carcinoma according to age and sex, obtained from endoscopic mass surveys performed in Koshigaya city for 15 years. Using this ratio as the reference standard, we calculated an expected number of gastric carcinoma in our duodenal ulcer patients (Table 1), and compaired it with the actual number of gastric carcinoma cases associated with duodenal ulcer in our hospital. This study showed that the ratio of duodenal ulcer patients associated with gastric carcinoma and detected ratio of gastric carcinoma in general were almost the same. We f arthermore added another 4 casesfrom our related hospital and studied total 11 cases of gastric carcinoma associated with duodenal ulcer. The results were as follows; 1) 53.6% of the cases were of early carcinoma. 2) 45.3% of the cases were over 65 years-old, and 80% of them were of advanced carcinomas. 3) All carcinomas were of depressed type. And histologically poorly differentiated type (including signet ring type) was found in 46%. 4) Atrophic gastritis with advanced intestinal metaplasia of the gastric mucosa was detected in 62.5% of the cases.View full abstractDownload PDF (819K) -
Yuzo AKASAKA, Masatsugu NAKAJIMA, Kunihiko KIMOTO, Katsuyuki YAMAGUCHI ...1983 Volume 25 Issue 5 Pages 696-702
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSERPP was performed in 40 patients with pancreatic cancer and the following results were obtained. (1) On parenchymography in 25 cases of patients with pancreatic cancer, the effectiveness of the surfactant were proved. (2) Parenchymogram of pancreatic cancer were divisible into two main patterns ; that is, type D characterized by a filling defect and type H by hyperopacification . Furthermore, type D was divided into five subtypes (D0, D1-a, D1-b, D1-c, D2) and type H into three subtypes (H0, H1, H2). (3) In cancer of the head of the pancreas, many cases belonged to D1-b or D2 subtype. In cancer of the body and tail, over 90% of cases belonged to D1-b or D1-c. (4) Parenchymogram showed more clearly the extent of cancerous infiltration in pancreatic parenchym than the pathologic findings of main pancreatic duct. (5) No particular complications were noted in ERPP of pancreatic cancer.View full abstractDownload PDF (2715K) -
Shozo OKAMURA, Saburo NAKAZAWA, Shinpei KAWAGUCHI, Junji YOSHINO, Hiro ...1983 Volume 25 Issue 5 Pages 703-710_1
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSFive cases of localized scirrhous cancer of the gastric corpus were examined radiologically, macroscopically, and histologically with special attention to their primary foci. In these cases the spread of cancer was limited to about a half of the transverse length of the resected stomach. The results were summarized as follows ; 1) The size of primary focus was less than 2cm in the largest diameter in all cases. 2) The shape of primary focus was irregular with spiculation, simulating type IIc, IIc + III, III + IIc or III early gastric cancer. (Figure 1, 7 ) 3) Histologically, the depth of primary focus was UI II in all cases . Cancer cells, which were poorly differentiated adenocarcinoma, infiltrated only into the rim of the ulcer or the depressed area simulating type IIc early gastric cancer in the mucosal layer, and infiltrated extensively into the submucosal and further deep layers. (Figure 5, 8 ) 4) In three cases mucosal folds did not converge to the primary focus, and in other two cases a part of surrounding mucosal folds did not converge to the primary focus. These characteristics of primary focus may contribute to their early diagnosis.View full abstractDownload PDF (8075K) -
Yoshihiko SAWADA, Yuzo MORIYAMA, Tetsunori EBINA, Hiromi SASAKI, Yutak ...1983 Volume 25 Issue 5 Pages 713-717_1
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESS14 cases of gastric terranovasis in Aomori prefecture were reported. Reports of this disease have been rare except from Hokkaido. Double contrast radiograph of the stomach showed the Terranova decipiens as a radiotranslucence in all of eight cases examined. Endoscopic picture showed the Terranova decipiens penetrating into the wall and the edematous mucosa with bleeding and erosions. Endoscopically it is easy to differentiate the Terranova larva from the Anisakis larva because the former is yellowish brown and bigger than the latter. The penetrating sites were mainly the body of the stomach. One of 14 cases had two larvae. 12 cases were fulminant form complaining of severe epigastric pain within several hours after taking raw fish. Two were mild form without any complaints. We experienced seven cases of gastric anisakiasis while 14 cases of gastric terranovasis. In Aomori prefecture gastric terranovasis may be more common than gastric anisakiasis.View full abstractDownload PDF (5228K) -
Masataka ODA, Takahiro KODAMA, Tomomi KONISHI, Tetsuo HANTA, Takaro ES ...1983 Volume 25 Issue 5 Pages 718-724_1
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe have developed a new model (Model 4) of Ultrasonic Laparoscope inserted linear electronic real-time scanner of 5.0 MHz in cooperation with Machida Co. and Toshiba Medical Co. in order to improve some defects of the former instruments (Medel 2 and 3). The ultrasonographical image of new type became much fine at the portion ranging from the surface to the depth of the liver, as compared with the former one which could cover the entire depth of the liver but showed coarse image, because of 3.5 MHz. Furthermore, we applied this apparatus to diagnose the pancreatic disease. The sensor, tip of the laparoscope, was placed on between the left hepatic lobe and the gastric lesser curvature. The image of the pancreas taken by this procedure was almost sufficient. We conclude that this new instrument can help the diagnosis of localized lesions not only of the liver, but also of the pancreas.View full abstractDownload PDF (8700K) -
Seiji SUZUKI, Atushi KANO, Yasuyuki KATOH1983 Volume 25 Issue 5 Pages 725-733
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 33-year-old woman with Schoenlein-Henoch purpura, who was endoscopically revealed to have typical mucosal findings in the gastric, duodenal, ileal, and whole large intestine, was presented. She was admitted to our hospital complaining of epigastric pain with bloody diarrhea. She had an episode for erythema nodusum with abdominal pain 13 years ago. On admission erythematous, purpuric, palpable lesions were symmetrically observed on the extension side of her elbow and knee. Laboratory examination revealed no abnormal findings except Guaiac-positive stool, slight increase of IgA and an increase in E. S. R. An upper gastrointestinal series showed no remarkable findings. Endoscopic findings in the stomach, duodenum, ileum, and whole large intestine were ring-like or horseshoe-shaped erythematous mucosal lesions and small purpuric lesions. The origin of manifest bleeding were detected as rectal lesion endoscopically. All of clinical and endoscopic findings disappeared within two weeks after admission by treatment with steroid and antacids.View full abstractDownload PDF (4835K) -
Yoshito TANAKA, Kenji HAYASHIDA, Haruaki ICHIMARU, Hajime TANIOKA, Hid ...1983 Volume 25 Issue 5 Pages 734-739_1
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSTwo cases of metastatic malignant melanoma of the liver observed by laparoscope are presented. Case 1: A 75 years old female operated for nasal malignant melanoma on January 1978 admitted to our hospital because of right hypochondric pain and lumbago on October 1978. Liver scintigram and celiac angiogram showed many nodular tumors on the liver. Laparoscopy was performed under the suspicion of metastatic malignant melanoma of the liver and showed many white-yellowish, round tumors without umbilication on both lobes. Case 2 : A 62 years old female excised left eyeball diagnosed as malignant melanoma on May 1979 admitted to our hospital because of general malaise and generalized wondering pain on July 1981. Physically, marked hepatomegaly with three walnut-sized tumors on its surface was palpated. Liver scintigram, liver computerized tomogram (CT) and liver echogram showed many tumors. Laparoscopy showed many black tumors on both lobes with marked hepatomegaly. Usually, malignant melanoma is easily diagnosed from its characteristic color, but as shown in case 1, it sometimes shows whitish nodules in its metastatic site, then we should carefully distinguish them from other tumors.View full abstractDownload PDF (6985K) -
Hiroyuki WAKABAYASHI, Michio TANAKA, Takashi SHIBUYA, Hiroyuki NOJIRI, ...1983 Volume 25 Issue 5 Pages 740-747_1
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 23-year-old male, complaining of epigastralgia and jaundice, was admitted to our hospital. Choledocho-cholecystolithiasis was recognized by endoscopic retrograde cholangiopancreatography (FRCP). Moreover, a thumb tip-sized hemispheric tumor was revealed in the 2nd portion of the duodenum by gastroduodenoscopy. This tumor had smooth mucosal surface with minute white spots and was slightly stained into blue by methylene blue staining method. Magnifying endoscopic observation revealed that white colored villi were variant in width and had flattened tips. These endoscopic findings suggested an existence of lymphangiectasia. The tumor, meausuring 12 × 10 × 9 mm in size, was resected surgically. By light microscopy, the lamina propria and submucosa contained dilated lymphatic vessels lined with flattened endothelium. No endothelial proliferation of the lymphatic vessels was noted. The contents of these dilated channels were proved to be chylomicron by Sudan III staining. At a higher magnification of microscope (H. E. staining), mucosal surface epithelial cells of the tumor were found to be flat and their brush border could be hardly recognized. No alkaline-phosphatase activity on the epithelial cells was recognized by histochemical staining method. Eight cases of lymph-vascular tumor in the duodenum as demonstrated in the present paper have been reported in Japan for the last 20 years. Each case of them was also discussed in this paper.View full abstractDownload PDF (7456K) -
Kozo MIZUIRI, Kosho CHIN, Toru ABEI, Toru YASUKAWA, Tsunehiko NANBA, Y ...1983 Volume 25 Issue 5 Pages 748-752_1
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 42 year-old Female began to have flapping tremor 3 days after admission. The prothrombin time was 30% on the 10th day. E E G performed on the 11th day showed scattered triphasic waves, serum ammonia being 202 pg/dl. α-Fetoprotein was 500 ng/ml on the 16th day. Peritoneoscopy performed on the 41th day showed nodular surface of the right lobe with slight atrophy and relatively smooth surface with several dimples in the left lobe. Liver biopsy performed from the right lobe showed massive hepatic necrosis. As far as histopatholoigcal findings are concerned, there are various findings from massive hepatic necrosis to minimal changes. There are no correlation between the severity of clinical illness and that of the histopathological findings. One reason for this discrepancy could be related to heterogencity of the lesion within the liver. Therefore, liver biopsy should be performed as much as possible under peritoneoscopic control.View full abstractDownload PDF (4707K) -
Hiroshi KIMURA, Takuji NAKAMURA, Seiichi TAKENOSHITA1983 Volume 25 Issue 5 Pages 755-761_1
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSTwo sisters with juvenile polyposis coli are presented. Those patients who were both in thier twenties had family history of the disease, colonic polyps or cancers. Both of the patients with symptoms of diarrhoe, rectal bleeding, under abdominal pain were found to have multiple polyps throughout the colon by barium enema and endoscopic examination. These multiple polyps which were pedunculated had lobulated or granulated surface. The younger sister's polyps were smaller and some had smooth surface. All the nine polyps of the younger sister were removed only via endoscopy, but all the thirteen polyps of the elder sister via endoscopy and operation. The histology of the removed polyps showed charactaristic features of juvenile polyp and part of them showed atypical glands similar to adenoma of the large intestine. They are asymptomtic and one of them was treated two years ago, and the other six years ago. Japanese literatures of juvenile polyposis coli were reviewed and fourteen cases in twelve families were collected. Considering these reports, this disease may be thought to be related to adenoma, cancer of the large intestine and familial adenomatosis coli. The number of polyps in this disease may be less than familial adenomatosis coll. Especially in our cases, the number of polyps were about ten. Therefore, endoscopic polypectomy was useful for diagnosis and treatment.View full abstractDownload PDF (4416K) -
[in Japanese]1983 Volume 25 Issue 5 Pages 762-769
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (1272K) -
[in Japanese]1983 Volume 25 Issue 5 Pages 770-778
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
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[in Japanese]1983 Volume 25 Issue 5 Pages 779-792
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (2136K) -
[in Japanese]1983 Volume 25 Issue 5 Pages 793-819
Published: May 20, 1983
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (4276K)
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