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Volume 31, Issue 4
Displaying 1-31 of 31 articles from this issue
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Hiroto MIWA, Tsutomu HAMADA1989 Volume 31 Issue 4 Pages 813-820
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSIn order to reveal the feartures which differentiate rapidly and slow growing gastric cancers, 63 cases of gastric cancer except the scirrhous type retrospectively followed up for more than 1 year, were investigated (early cancer 33 cases, advanced cancer 30 cases). Clinical and histopathological studies provided the following information ; 1) Among the early gastric cancer, IIa type and IIc (ul+) type were considerd as slow growing gastric cancer (Table 1). Localized types of advanced gastric cancer (Borrmann 1, 2 type) were considerd as rapidly growing gastric cancers. They were initially found as lesions without ulceration (Table 3, 4). 2) 19 cases of retrospectively observed advanced gastric cancer were dissected (Borrmann 2 type: 10 cases, Borrmann 3 type : 9 cases), and histopathologically examined. The histopathological feature of rapidly growing gastric cancer were as follows ;(1) ulceration is not deep (Table 7). (2) fibrosis around cancer nest is not tight (Table 8). (3) the invasive mode of the cancer to deeper layer is continuous (Table 9).View full abstractDownload PDF (842K) -
Masaki SHIGEEDA1989 Volume 31 Issue 4 Pages 821-829
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe extension and progress of atrophic gastritis was studied in order to elucidate the correlation between atrophic gastritis and Campylobacter pylori (C. pylori). The correlation between C. pylori colonization and the extension of an atrophic pattern and intestinal epithelial mataplasia, as well as the significance of C. pylori colonization in the chronological changes of atrophic gastritis were studied. Endoscopic congo red technique and the follow-up examination were performed in 178 patients. C. pylori was indentified in gastric biopsy specimens from the patients. A decrease in the detection rate of C. pylori was seen in C1 or in O3 and O4 in which a more progressed atrophy was noted. A decrease in the detection rate was observed in cases with a wider area of intestinal epithelial metaplasia. The detection rate of C. pylori was high in cases in which the atrophic pattern shifted during the course of follow-up and was significantly lower in cases in which the atrophic pattern did not shift.View full abstractDownload PDF (1690K) -
Akio MATSUMOTO, Hirofumi MIYOSHI, Naofumi OSAKA, Katsuyoshi HAYASHI, H ...1989 Volume 31 Issue 4 Pages 831-836
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSRecently, endoscopic injection sclerotherapy (EIS) has been considered to be an effective treatment for esophageal varices. Five percent ethanolamine oleate (5% EO) is an effective agent when injected intravaricerally, but when injected paravaricerally it produces various formed deep esophageal ulcers causing an esophageal stricture. Therefore, it is necessary to pay attention to the injection volume of EO. One hundred and eighty four cases of esophageal varices have been treated with EIS from November 1983 to December 1987. Seven cases of them (3.8%) had an esophageal stricture after EIS. EIS was performed by EOMA method, polidocanol method, and the combine method using both EO and polidocanol (EO-P) method. We studied these 7 cases from the view of injection volume of EO and the form of esophageal ulcerations produced by EO. The result was that most cases of such esophageal strictures were injected EO more than 10 ml at each EIS after the initial EIS and consequently had large esophageal ulcerations. For severe esophageal strictures, endoscopic dilatation therapy using pneumatic dilator was effective for improving the patients' complaints. From the result, it was thought that the injection volume of EO should be less than 10 ml at each EIS after initial EIS.View full abstractDownload PDF (645K) -
Kenzo HARIMA, Tsuyoshi GIBE, Takayoshi NOGUCHI, Kazutaka NAKATA, Nobuh ...1989 Volume 31 Issue 4 Pages 837-847
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSEUS was performed in choledochal diseases by a radial scanning ultrasonic endoscope (GF-UM 2/EU-M 2) equipped with 10 MHz transducer. In the first report prior to this study, we clarified the histological structure of the wall of the common bile duct on echograms and referred to the visualization method of the common bile duct in clinical cases. In this study, EUS was performed in 20 cases including 6 cases of choledochal cancer, 6 cases of choledocholithiasis, 2 cases of cholangitis, 3 cases of the stenosis of the common bile duct. In the cases of the choledochal cancer, we could visualize tumor lesions clearly in 3 out of 4 cases in which surgical operation could be done. Concerning the diagnosis of the extra-mural invasion, we could make an exact diagnosis in 2 out of 3 cases by EUS. In cases of the choledocholithiasis, we could make an exact diagnosis in all cases and could point out 10 out of 11 stones which were cofirmed by operation or EST. In cases of the cholangitis, the thickness of the 2nd layer in three layer structure of the choledochal wall was the characteristic finding. In the cases with stenosis of the common bile duct, it was thought to be a very important finding in the differential diagnosis of malignancy or benign whether a tumor lesion was visualized by EUS. In conclusion, we were convinced that EUS might be a very useful technique in the diagnosis of the diseases of the common bile duct.View full abstractDownload PDF (8949K) -
Shinji SHIRASAKI, Osamu HOSOKAWA, Kunishige WATANABE, Shiougi TUDA, Sh ...1989 Volume 31 Issue 4 Pages 848-855_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSType I early gastric cancers were treated in 68 cases (76 lesions) at Fukui Prefectural Hospital from 1963 to 1985. In this histological study, hyperplastic polyps associated with carcinoma were found in 25 lesions of 24 cases, and 33 percent of type I early gastric cancers had, therefore, associated gastric hyperplastic polyp. Sixteen cases of these were gastrectomy cases and 8 cases were endoscopical polypectomy cases. A male and female ratio was 1;1, the average age was 66.5 year and the average size of 25 lesions was 2.6 cm. In 8 cases of these, the size of lesion was less than 2.0 cm and in 2 cases, it was less than 1.0 cm. The space occupying ratio of carcinoma tissue in small lesions was small, and it was large in large lesions. Endoscopical examination of these lesions showed surface irregularity, erosion, white coat and bleeding, etc. Change in size and surface irregularity was noted at the time of recognizing malignant transformation of gastric hyperplastic polyp which we could follow up on endoscopical examination. From 1976 to 1985, 1508 cases were diagnosed histologically as gastric hyperplastic polyp at this hospital. Of these cases, 16 were associated with carcinoma.View full abstractDownload PDF (3743K) -
Kyohei NAGATANI, Toru MITSUSHIMA, Keiji YOKOUCHI, Kazuya NAKAMOTO, Yos ...1989 Volume 31 Issue 4 Pages 856-865
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSAs a preparation of colonoscopy, Brown's method has been used widely. Colonic irrigation by lavage were performed to 266 patients as a preparation of colonoscopy for screening cancer. The patients were divided into 3 groups and administered the specially prepared electrolytes solution 1 liter, 2 liters and 3 liters in each group respectively. In the groups administered more than 2 liters, colonic preparation were better than that of Brown's method. Most of patients could accept this lavage method and prefered this method to Brown's method, however, 8% of 3 liters group could not drink up 3 liters. Our result indicates that administration of the solution with an amount of 2 liters is now one of the most attractive method for preparation of colonoscopy.View full abstractDownload PDF (2205K) -
Heiji OKAMOTO, Tetsuji SASAKI, Yoshiharu SATAKE, Yoshio TSUBOMIZU, Rik ...1989 Volume 31 Issue 4 Pages 866-871_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSColonic non-epithelial tumors of 120 (2.8%) including 25 carcinoid tumors out of 4, 211 lesions excised endoscopically during a period of the last 6 years were analysed. The frequency, histopathology, endoscopic findings and endoscopic excisional technique of the colonic non-epithelial tumors were discussed. The results were as follows; 1) Histopath-ologically 35 were lymphoid nodules, 25 carcinoid tumors, 20 lymphangiomas, 19 leiomyomas, 18 lipomas, 2 angiomas and 1 lymphoma. 2) Endoscopically sessiled type, 95 lesions (79.2%) ; subpedunculated type, 21 lesions (17.5%) ; pedunculated type, 3 lesions (2.5%) and flat type, 1 (0.8%). 3) "80% excisional method" utilizing burning effects should be introduced and recommended, because it is difficult to resect a submucosal tumor completely but easy to burn out the remaining of the tissue. It might be emphasized that even colonic non-epithelial tumors could be excised endoscopically as well as colonic polyps and that the accurate pathological diagnosis could be made because of the larger specimens.View full abstractDownload PDF (2168K) -
-WITH REFERENCE TO THE USEFULNESS OF ACRIDINE-ORANGE STAIN-Masaki YOSHIDA, Ichiro IMOTO, Yukihisa SHIDA, Yutaka YANO, Kohji HASEG ...1989 Volume 31 Issue 4 Pages 872-878_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe evaluated the detection rate of Campylobacter pylori in culture, urease test (Christensen'urea medium EIKEN Co Ltd) and acridine-orange stain. In this study, 255 biopsy specimens were taken from 120 patients. Trypticase soy agar added 5% of sheep blood (BBL No 21239) and Chocolate agar (BBL No 21169) were used for culture. In 28% of specimens, C. pylori was detected in all three methods such as culture, urease test and acridine-orange stain. And in 73% of specimens, C. pylori was detected in either culture, urease test or acridine-orange stain. Detection rate of C. pylori was 38% in Chocolate agar, 52% in Trypticase soy agar added 5% of sheep blood, 55% in urease test and 73% in acridine-orange stain. In summary, 1. Acridine-orange stain was the most useful and sensitive method to detect C. pylori among three methods. 2. Culture, urease test and acridine-orange stain should be used together to avoid false negative cases. 3. It is very important to pay special consideration about the detection techniques of C, pylori in order to know "true prevalence rate of C. pylori" and "true relationship between C. pylori and gastroduodenal desease".View full abstractDownload PDF (2456K) -
Hideo YAMADA, Teruo KOUZU, Yukinobu OGINO, Hideji KONNO, Ikuya OOSHIMA ...1989 Volume 31 Issue 4 Pages 881-886_1
Published: April 20, 1989
Released on J-STAGE: May 20, 2011
JOURNAL FREE ACCESSWe report autofluorecence of gastric cancer and esophageal cancer by argon laser, 514.5 nm. Resected fresh specemens illuminated by argon laser, and we mesured the fluorescence spectra of gastric cancer and esophageal cancer using by TS 200 improved. Fluorecence spectra of cancer showed 630 nm and 690 nm. Next, we obserbed illumination of cancer using by electronic endoscope. Electronic endoscopic picture of gastric cancer and esophageal cancer which were illuminated by argon laser were very clearly, so electronic endoscopy is useful for laser endoscope.View full abstractDownload PDF (5446K) -
Mikio MAKUUCHI, Kimio NAMATAME, Tadaaki IKEDA, Hirosi NAKANO, Youmo KO ...1989 Volume 31 Issue 4 Pages 887-895_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDuring a piriod of recent 11 years to March, 1988, we performed 233 upper gastrointesitinal endoscopy including ERCP for 193 pediatric patients below 15 years of age. The age distribution was as follows : 4 patients below 1 year, 9 patients between 1 and 3 years, 12 patients between 4 and 6 years, 44 patients between 7 and 11, 124 patients between 12 and 15. The instruments used were the common GIF-P3, P10, specially designed XGIF-BF (outerdiameter 5.3 mm), PJF and so on. Seventeen cases were needed general anesthesia among which 16 case were below 6 years of age. The examinations were safety performed in 9 cases below 6 years of age with ketral and atropin sulfate (i. m.). The school aged children over 7 years accepted premedication with diazepam and local xylocaine anesthesia which is same as that of the adult. The diseases diagnosed endoscopically depend upon age, for instance, newborn babies had congenital disorders such as choledochal cyst, the infants often required extraction of foreign bodies and the school age children were suffered from gastritis and peptic ulcer dominantly.View full abstractDownload PDF (2076K) -
Kunio SUZUKI, Yoshihiro KOHLI, Takuji KATOH, Toshio TADA, Shigeji ITOH1989 Volume 31 Issue 4 Pages 896-904_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSImage processing of endoscopic pictures of the stomach taken with electronic endoscope (Olympus GIF-V10Z, magnify type videoimage endoscope) was attempted by the authors using the real time color image processor and the microcomputer. First, we tried the abstraction of surface patterns of gastric polypoid lesions by using the image processor. Laplasian operator of green color image was very effective method for the abstraction of surface patterns of gastric lesions. Second, we tried the numeration of these patterns of gastric mucosa by image processing, aiming for making automatic diagnosis of gastric disorders. To evaluate the clinical significance of these results, however, further comparative studies using the endoscopic pictures and its histopathological results are recommended. We consider that the electronic endoscopy with image processing of endoscopic pictures will replace the magnify fiberscope, and it will be very usefull and effective for more detailed diagnosis of the gastric disorders.View full abstractDownload PDF (5782K) -
Go KOBAYASHI, Naotaka FUJITA, Shigeki LEE, Kazuhiro SATOH, Akira YANO, ...1989 Volume 31 Issue 4 Pages 907-910
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe compared the results of ERCP with electronic endoscope with those with conventional fiberendoscope. The electronic endoscope used in this study was a JF-V10 (OLYM-PUS), and the conventional fiberscope was a JF-1T10 (OLYMPUS). The number of cases which underwent ERCP with the JF-V10 and the JF-1T10 was 327 and 142, respectively. The specification of the tip deflection of the JF-V10 is similar to that of the JF-1T10. Using the JF-V10, a success rate of pancreatography was 93.4% and that of cholangiography was 87.1%. Using the JF-1T10 the respective rate were 93.9% and 91.9%. The time required for ERCP with the JF-V10 was 12 minutes 8 seconds, and with the JF-1T10, 11 minutes 55 seconds. We could perform treatment (the endoscopic papillotomy, cytology, lithotomy, biopsy, etc.) with the JF-V10 quite successfully. Actual ability of this instrument is comparable to that of the conventional fiberscope employed. This instrument has great advantage with regard to the training of medical personnel in endoscopic treatment. Also, the large TV monitor lessens the burden on the endoscopist. To facilitate the wide use, the tip of the electronic endoscope should be further shortened.View full abstractDownload PDF (432K) -
Eizo KANEKO, Shigeko OOI, GO ITO, Junichi KUMAGAI, Nishio HONDA, Akihi ...1989 Volume 31 Issue 4 Pages 911-917
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSIn the gastric mass survey with photofluorography performed on male office workers over 40 years of age during Sep. 1974-Dec. 1987, 983 cases of duodenal ulcer (DU) were detected. These cases were scheduled to be followed up every 6 months with endoscopy and without anti-ulcer drugs. 593 cases detected before Dec. 1986 and 234 cases detected before Dec. 1984 were followed up for 1 year and 3 years respectively. In 1 year follow-up study, 18.3% of 333 ulcerated DU at entry healed, and 30.8% of 260 scars at entry were relapsed at 12 months. Regarding the relationship between ulcer activity and ulcer shape, multiple-linear DU healed less and relapsed more significantly than single DUs during the follow-up period. Three year follow-up study revealed that 32.5% of multiple-linear DU lapsed in ulcerated status throughout the follow-up period, but single DUs healed at least once during the period. 53% of red scar at entry relapsed during the follow-up period, but only 10% of white scar relapsed. These defferece is statistically significant. In conclusion, the natural history of DUs over 40 years of age may be anticipated by ulcer activity and ulcer shape at detection, and ulcer healing is completed up to white scar.View full abstractDownload PDF (715K) -
Masahiro TADA, Akitada ISO, Hirotomo OHTSUKA, Miyako OGAWA, Seiji SHIM ...1989 Volume 31 Issue 4 Pages 918-924
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSColonoscopy has been widely employed for diagnosis and therapy in adult patients. In contrast, its indication has been limited in infants and children. One of the reasons was the lack of an appropriate colonoscope ; ordinary fiberscopes for adults have been too large in caliber and too stiff for pediatric patients. Recent technological development enabled to make a slender colonoscope, type CF-XP (Olympus) ; the diameter of its insertion tube is only 7.9 mm. During the last 2 years, pediatric colonoscopy was performed 29 times in 21 patients using CF-XP. Patient's tolerance during examination was much greater with CF-XP, compared with PCF-10 or CF-10I. In pateints under age of five, total colonoscopy and endoscopic polypectomy were carried out under general anesthesia, however, premedications were not required in patients over the age. Total colonoscopy was performed in 15 patients without accident. The average time required for insertion was 7.5 minutes, whereas that with PCF-10 was 10.0 minutes. In conclusion, pediatric colonoscopy became easier by the development of CF-XP.View full abstractDownload PDF (2019K) -
Keiichi KITADA, Tetsuo ARAKAWA, Harushi OHSUGI, Yasuhiro MIZOGUCHI, Te ...1989 Volume 31 Issue 4 Pages 925-930_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe patient was 48-year-old woman who had visited psychiatrist with complaints of sleeplessness and palpitation for recent 15 years. She intended suicide by ingesting lye because of these symptoms getting worse. Upper GI series and endoscopy revealed extremely large ulcer (4×10cm) at the greater curvature aspect of gastric angle. This ulcer was healed after four months by the medication of Misoprostol (a methyl analogue of prostaglandin E1). Since esophageal stenosis bad developed during the ulcer treatment, dilatation was performed several times using bougie, and the stenosis was improved. This case may be valuable since ingestion of alkali corrosives like lye seldom induces gastric ulcer and also conservative treatment is not commonly attempted for this type of lesions.View full abstractDownload PDF (4672K) -
Sohichi HOTTA, Shuya SHIMAKURA, Takayuki HIRANUMA, Kensuke TSUSHIMA, Y ...1989 Volume 31 Issue 4 Pages 933-938_1
Published: April 20, 1989
Released on J-STAGE: May 20, 2011
JOURNAL FREE ACCESSRecently we experieced 2 cases of localised gastric telangiectasia. Case 1; A 66-year-old man was admitted to Tsukuba university hospital with complaints of recorrent hematemesis and melena. By endoscopic examination the two gastric telangiectasias were found on the posterior wall of the upper body of the stomach. These lesions were treated endoscopically by the pure ethanol injection method. Two months later, these lesions were diminished. Since then hehas never complainted of his symptoms. Case 2 ; A 70-year-old woman with aortic stenosis was admitted to our hospital with complaints of tarry stool and chest pain. One gastric telangiectasia was found on the lesssr curvature of the upper body of the stomach. The precipitating cause of the chest pain in this AS patient was considered to be anemia due to acute and chronic bleeding grom the telangiectasis of the stomach. The treatment was performed by the same method of the first case. Since then, she has never complainted of her symptoms.View full abstractDownload PDF (2770K) -
Masayuki MIYAZAWA, Nobuyoshi MUTOU, Hiroyuki NARUMI, Nobuhiro KONDOU, ...1989 Volume 31 Issue 4 Pages 939-947
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 67-year-old male with two esophageal and five early gastric cancerous lesions is presented. Under the diagnosis of two esophageal and three gastric cancerous lesions, the surgical operation was performed on him. The final diagnosis was as the followings. Esophageal cancers ; the one was located in the middle intra-thoracic esophagus, superficial elevated type, 15×6mm, and the depth, sm with middle thoracic paraesophageal lymph node metastasis, the other was situated from the middle to the inferior thoracic esophagus, superficial depressed type, 55×36mm, and the depth, ep. Gastric cancers; 1) on the posterior wall of the upper body. IIa + IIc type, 22×10mm, and the depth, m, 2) on the lesser curvature of the antrum, IIa type, 38×35mm, and the depth, m, 3) on the posterior wall of the lower body, 33×19mm, and the depth, m, 4) on the greater curvature of the lower body, 10×19mm, and the depth, m, 5) on the anterior wall of the antrum, 5×7mm, and the depth, m.View full abstractDownload PDF (6056K) -
Atsushi NAKAMURA, Yoshio MORIGUCHI, Yasuo SHIMIZU, Kayoko KAWADA, Hiro ...1989 Volume 31 Issue 4 Pages 948-952_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 73-years old woman visited our hospital, complaining of slight anterior chest pain. On the plain X-ray film, a hairpin shadow was seen at the epigastric region. The hairpin was found to penetrate the lesser curvarture of the antrum on endoscopic examination. Abdominal echogram showed that the tip had got through serosa of swollen gastric wall. It was successfully removed from the stomach with grasping forceps under endoscopy. Since her general condition was relatively good without any severe complications after removal of the hairpin, she was conservatively treated with antibiotics and drip infusion but no food intake. She recoverd and discharged 3 days after the removal of the hairpin.View full abstractDownload PDF (5080K) -
Hiroshi YAMASE, Yoshiya MISHINA, Masahiko MURAKAMI, Hiroaki TANABE, So ...1989 Volume 31 Issue 4 Pages 953-960_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSXanthogranulomatous cholecystitis (XGC) is sometimes difficult to differentiate from gallbladder carcinoma. We reported a case of XGC with carcinoma of papilla Vater diagnosed by percutaneous transhepatic cholecystoscopy (PTCCS) and by duodenoscope. This patients was a 50-year-old male with a complaint of upper abdominal pain. Abdominal ultrasonography (US) showed thickend gallbladder wall with nodular hyper echoic area with a stone shadow in it. Contrast enhanced computed tomography (CT) showed nodular low density area (LDA) in the gallbladder wall. Percutaneous transhepatic cholecystography (PTCC) showed rigid gallbladder wall and leakage of the contrast material into gallbladder bed. PTCCS showed almost normal gallbladder mucosa and therefore, diagnosed this lesion as not the carcinoma but XGC. Duodenoscopy revealed carcinoma of papilla Vater. Pancreatoduodenectomy with cholecystectomy was performed. Resected specimen showed that yellow nodules observed intra-gallbladder wall were xanthogranuloma and had been well visualized with US as nodular hyper echoic area and CT as nodular low density area. The rigid gallbladder wall and the leakage of the contrast material into the gallbladder bed observed by PTCC were also the characteristic findings of XGC. Microscopic findings of papillary tumor of papilla Vater showed papillary adenocarcinoma located in the mucosal layer and no lymph node metastasis. This patient has been well for one year and ten months after the operation.View full abstractDownload PDF (9573K) -
Masaaki ENDOH, Hiromichi NAKACHI, Kenichi TAKAHASHI, Mutsuo SASAKI, Sh ...1989 Volume 31 Issue 4 Pages 961-965
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA case of anomalous union of the pancreatico-biliary ductal system (AUPBDS) with a fusiform dilatation of the common bile duct, in which the arrangement of the two ductal systems was demonstrated with endoscopic ultrasonography (EUS), was reported. A 34-aged male was admitted for a surgical treatment with congenital dilatation of the bile duct. ERCP revealed AUPBDS of biliary joining type with a common channel of 13 mm in length. The constricted part of the common bile duct that seemed to join the main pancreatic duct within the pancreatic parenchyma was demonstarated by conventional ultrasonography. With EUS, the junction of the two ducts was much more clearly depicted and located in the pancreatic parenchyma. In conclusion, EUS seemed to be one of the most useful methods in imaging the extramural junction of pancreatic and biliary ducts in AUPBDS.View full abstractDownload PDF (5054K) -
-THE LAPAROSCOPIC FINDINGS AFTER A HIGH-DOSE ICG ADMINISTRATION-Hideki SAIKI, Isao OKADA, Hiroaki AKITA, Ichiro ASAKURA, Yasushi OGIWA ...1989 Volume 31 Issue 4 Pages 966-970_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 32-year-old male, a HB virus carrier (eAb positive), was hospitalized with general fatigue and liver dysfunction. Laboratory data revealed a slight elevation of serum GPT level and an abnormality of serum thymol turbidity test. ICG test showed an extremely high retention at 15 minites such as 86, 90, and 73%, a low disappearance rate and a low plasma-liver transfer rate constant while BSP test showed a slight abnormality. On laparoscopic examination, reddish patchies as well as partly nodular formation were recognized on the liver surface and little ICG coloration after intravenous ICG injection even in a dose of 3mg/kg was observed. Light microscopic findings were compatible with chronic inactive hepatitis. However, on the electron microscopic examination, an increase of collagen fiber in the Disse's space, a flattering of fuzzy lining of the liver cell, a basement membrane formation of the Disse's space and a deformity of mitochondrias were seen. Those morphological findings were suggested to be associated with a mechanism of ICG excretory defect.View full abstractDownload PDF (4996K) -
Shigenori ITOH, Norishige OZEKI, Akitaka TANAKA, Yoshisuke TAKADA, Yut ...1989 Volume 31 Issue 4 Pages 973-978_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe reported two cases of ischemic colitis in young adult males in whom constipation and stress were thought to contribute to the onset of the ailment. The first case was a 33 year-old male, whose chronic constipation conbined with stress from work at home as a machinery designer induced symptoms. Endoscopic examination revealed prominent mucosal edema, and diffuse hemorrhage approximately 30 cm in length in the descending colon. Barium enema examination showed lack of distension of the bowel, irregular contour and thumb-printing in the same area. The second case was a 23-year-old male who had also chronic constipation. When he got stress in his job as a car salesman, he began to experience rectal bleeding and lower abdominal pain. Endoscopic examination and barium enema study revealed circumferential reddening, erosions and lack of distention 5 cm in length in the sigmoid colon. In both cases, the disorder was alleviated in a few days with conservative therapy, and no stenosis was left. Cases in ischemic colitis in young adult males with no underlying disturbance are rare and only five cases were recorted in Japan. In our cases, it is possible to infer that poor blood circulation due to constipation and stress was the cause of the trouble.View full abstractDownload PDF (5573K) -
Hiroyuki MITOMI, Makoto KAWAMURA, Masahito OHIDA, Takeshi MATSUNO, Syo ...1989 Volume 31 Issue 4 Pages 979-983_1
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe report a case of recurrent transient form of ischemic colitis. Ischemic change was observed in the transverse colon at first episode in 1986 and later in the descending colon at second episode in 1988. Abdominal angiography showed normal findings. Associated medical problems such as hypertention, diabetes mellitus, arteriosclerosis, collagen diseases and hematological diseases were not seen. Follow-up studies are necessary for the patients of ischemic colitis because of recurrence.View full abstractDownload PDF (5373K) -
Hideki NISHIWAKI, Takeshi ASAI, Michio SOWA, Kaoru UMEYAMA1989 Volume 31 Issue 4 Pages 984-989
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSLaser doppler velocimetry was evaluated on the endoscopic measurments of gastric mucosal microcirculation of the antrum and body in 13 patients with liver cirrhosis, in which its reproducebility and comparison of correlation with hydrogen gas clearance method were examined. In 7 measurements of the antrum and body, coefficient of variation was 0.03 ± 0.01 and 0.16 ± 0.04, respectively, which represented the relative good reproducebility in those measurements. Mean microcirculation was 18±6 ml/min/100 g of the antrum and 23±8 ml/min/100 g of the body, in which a higher value was observed in the body as compared with the antrum. Mucosal microcirculation obtained by laser doppler velocimetry was obviously lower than that of hydrogen gas clearance method. However, there was no significant correlation between mucosal blood flows obtained by both methods, which might be due in part to different principles applied to both methods. But our study showed that laser doppler velocimetry still has a benefit for measurement of gastric mucosal microcirculation from an advantage of it's easy, safe, not-expensive and continous measurement.View full abstractDownload PDF (1896K) -
[in Japanese]1989 Volume 31 Issue 4 Pages 990-1016
Published: April 20, 1989
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[in Japanese]1989 Volume 31 Issue 4 Pages 1016-1027
Published: April 20, 1989
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[in Japanese]1989 Volume 31 Issue 4 Pages 1027-1035
Published: April 20, 1989
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[in Japanese]1989 Volume 31 Issue 4 Pages 1035-1051
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[in Japanese]1989 Volume 31 Issue 4 Pages 1052-1063
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[in Japanese]1989 Volume 31 Issue 4 Pages 1064-1073
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Released on J-STAGE: May 09, 2011
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[in Japanese]1989 Volume 31 Issue 4 Pages 1074-1108
Published: April 20, 1989
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (5584K)
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