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 36, Issue 12
Displaying 1-20 of 20 articles from this issue
- |<
- <
- 1
- >
- >|
-
COMPARISON BETWEEN A JELLY INFUSION METHOD AND A BALLOON METHODYukihito YAMADA, Tetsuaki SAKAGUCHI, Mitsuhiro KIDA, Makoto NOTO, Keit ...1994 Volume 36 Issue 12 Pages 2399-2405_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe developed a jelly infusion method (J-method) and a balloon method (B-method) enabling the evaluation of the duodenal ulcer, then we made a comparison between detection rates of duodenal ulcers by J-method and that of B-method. From October 1993 to March 1994, ultrasonic probe (USP) were performed in 67 lesions of duodenal ulcers (17 single ulcers, 50 multiple ulcers) using these methods. Detection rates of single duodenal ulcers were satisfactory good using both methods. Detection rates of posterior ulcer in multiple duodenal ulcers were 42% using J-method and 79% using B-method, respectivelly. The results indicate that J-method is suitable for detecting single duodenal ulcer and B-method is suitable for detecting multiple duodenal ulcers.View full abstractDownload PDF (7492K) -
Yasuyuki YAZAKI, Seiji WATANABE, Akinori MATSUMOTO, Tosihide TANAKA, K ...1994 Volume 36 Issue 12 Pages 2406-2415
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe have examined the results of short term therapy of esophageal verices in comparison with our ordinary endoscopic injection sclerotherapy. As short term therapy, we performed one endoscopic variceal ligation (EVL: by Stiegmann's method) therapy, and after that, added one endoscopic injection sclerotherapy to obtain complete vanishment of minute vessels in 15 cases who had not treated enlarged tortuous esophageal varices with positive red color sign (RC-sign) from 1992 to 1993. As control, we performed our ordinary endoscopic injection sclerotherapy according to a method of Takase. The adequate volume of contrast medium added 5% ethanolamine oleate was injected into varices and the feeding veins under X-ray monitoring. We repeated the treatment until all varices and minute vessels disappear comletely in 10 cases who had the same grade of esophageal varices with short term therapy group from 1992 to 1993. One month after the treatment, no varices and no RC-sign (F0) were observed endoscopically in all of the patient treated by our ordinary method, while only 8 of 15 (53%) of the short term therapy group obtained F0. In short term therapy group, the grades of RC -sign on varices before treatment was slight {:(+)} in 8 cases with satisfactory results, while severe {:(++)- (+++) } in 5 out of 7 cases with unsatisfactory results. In short term therapy group, 5 cases were retreated because of development of severe RC-sign and one case bled during the follow up period after the treatment. In our ordinary method group no case required re-treatment, or bled in the same follow up period. In conclusion, short term therapy was useful for the cases who had esophageal varices with slight grade of RC-sign.View full abstractDownload PDF (4047K) -
Chikara IWAI, Yoshiaki SANO, Tetsuji KITAHORA, Hiromi ONO, Kouichi SUZ ...1994 Volume 36 Issue 12 Pages 2416-2421_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESS"Kammrötung" observed during endoscopic examinations of upper gastrointestinal tracts is considered as superficial gastritis. Clinically, it is various from asymptomatic to with severe epigastralgia. In this study, the authors measured the gastric juice pH and the luminol-dependent chemiluminescence (ChL) released from gastric mucosa in 67 cases with "Kammrötung" and in 41 cases with endoscopically normal mucosa. The intensity of epigastralgia was also examined for comparison. The results of this study indicate that the gastric juice pH was significantly lower and the ChL released from gastric mucosa was significantly higher in "Kammrötung" cases than in the healthy controls. Epigastralgia was noticed in many cases with low gastric juice pH, but, there is a tendency that severe epigastralgia appeared rather often with high ChL released from gastric mucosa than depending on the gastric juice acidity. From the above findings, it is considered that, regarding "Kammrotung" with notice-able epigastralgia, the measurement of tha gastric juice pH and the ChL released from gastric mucosa will bocome an important point of view in devising its therapy in the future.View full abstractDownload PDF (3347K) -
Akira ZENIYA, Hidekazu MATSUMOTO, Tomonori ISHIOKA, Toshiyuki KUWABARA ...1994 Volume 36 Issue 12 Pages 2422-2430_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA case of primary malignant melanoma of the esophagus was reported. A 63-year-old male complaining of dysphagia was admitted to our hospital. Biopsy findings in addition to upper G-I x-ray and endoscopic examination confirmed malignant melanoma preoperatvely. Macroscopic view of the resected specimen showed a grayish, partially brownish colored main tumor, 4cm in size (lesion 1). In addition, two small tumors, whitish (lesion 2) and black (lesion 3), were demonstrated. Melanosis was demonstrated in the adjacent esophageal mucosa. Electron microscopy revealed tumor cells containing melanosomes of II stage in the lesion 1, 2 and melanosomes of IV stage in the lesion 3.View full abstractDownload PDF (9028K) -
Takayoshi MATSUI, Masahiro IWANO, Rie TERADA, Toshiko TAKING, Yoshihir ...1994 Volume 36 Issue 12 Pages 2433-2437_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 65 Year-old man visited our hospital with complaints of general fatigue and shortness of breath. Laboratory findings showed severe macrocytic anemia: RBC192, Hb 6.9 g/dl, Ht 21.4%, MCV 111.5 fl, MCH 35.9 pg, MCHC 32.2 g/dl. The intrinsic factor antibody and parietal cell antibody were positive, we made a diagnosis of pernicious anemia. The endoscopic findings showed severe atrophic change of the gastric mucosa, and a small polypoid lesion was detected in the anterior wall of the antrum. The biopsy specimen showed a well-differentiated tubular adenocarcinoma. An endoscopic polypectomy was made. The lesion was 13mm in diamete. Histologically, adenomatous glands were predominant and foci of the well-differentiated tubular adenocarcinoma were observed in the surface layer. Early polypoid gastric cancer appeared in a patient with pernicious anemia, Endoscopic follow-up is thought to be very important, because pernicious anemia is a higher risk factor for gastric cancer.View full abstractDownload PDF (5348K) -
Makoto NAKAJIMA, Hideyuki KONISHI, Masao NODA, Hitomi SATOU, Yasuo FUK ...1994 Volume 36 Issue 12 Pages 2438-2443_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 60-year-old man was admitted to our hospital for the further examination of the gastric polypoid lesion. Endoscopic examination showed a submucosal mass (Type II under Yamada's classification) with smooth surface and central erosion on the greater curvature of the lower body. A carcinoid tumor was suspected by the histological and immunostain (Chromogranin-A, NSE) examination of the biopsy specimen. No metastasis was detected. We performed endoscopic resection of the tumor using the strip biopsy method. Histological diagnosis was a carcinoid tumor. The depth of invasion was limited to the submucosal layer, and there was no invasion either on the edge of the specimen or its vessels. Close follow-up study is going on.View full abstractDownload PDF (8415K) -
Masahiko MURAKAMI, Yoshinori SHIMIZU, Yoshihiro FUKOUE, Kazushige ARAI ...1994 Volume 36 Issue 12 Pages 2444-2448_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 78-year old female with gastric ulcer was treated H2 receptor antagonist. After one month of treatment, UGI endoscopy revealed a nodular and elevated lesion with thick whitisch exudates. Candida was identified by biopsy and the diagnosis was made as gastric candidiasis. Administration of the H2 receptor antagonist was discontinued and oral administration of Nystatin was started. About four weeks later, the ulcer was almost healed and seven weeks later it disappeared completely. It is presumed that the hypoxic state in the stomach due to H2 receptor antagonist is related to the development of candidiasis in this case. Careful observation was considered necessary in cases on longterm administration of H2 receptor antagonist. It is very rare that such a nodular type lesion as in this case is observed endoscopically.View full abstractDownload PDF (4284K) -
Katsuya HIRAKAWA, Tadahiko FUCHIGAMI, Toshihiko ICHIMARU, Masahiko HIR ...1994 Volume 36 Issue 12 Pages 2451-2457_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 31-year-old male was admitted for abdominal distension, watery diarrhea and abdominal pain. Abdominal X-ray, endoscopy, abdominal ultrasonography and enhanced CT scan demonstrated the wall thickening of the gastrointestinal tract and massive ascites. The peripheral blood and the ascites showed remarkable increase of eosinophils and the biopsy specimens from gastric antrum, duodenum and colon revealed eosinophilic infiltra-tion in the mucosa. He was diagnosed of eosinophilic gastroenteritis, predominant subser-osal disease. Endoscopic ultrasonography showed circumf erential wall thickening and indistinct structure under the third layer of the antrum. These findings indicated the histological infiltration of eosinophils predominantly to the submucosal, muscular and subserosal layers of the antral wall. It was suggested that endoscopic ultrasonography is useful for the evaluation of eosinophilic gastroenteritis.View full abstractDownload PDF (10913K) -
Yasuhiro ISHII, Hirohumi GONDA, Yuuji FUJII, Hiroshi ASHIDA1994 Volume 36 Issue 12 Pages 2458-2462_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe experienced a patient with adhesion related mesenteric varices, which is a complication of portal hypertension. In these patients, postoperative intraabdominal adhesion often causes mesenteric varices. A 50-year-old male was admitted to our hospital for melena with abdominal pain. He had a history of jejunal resection due to ileus, also suffered from liver dysfunction. Barium examination of small intestine and superior mesenteric angiogram suggested jejunal varices, caused by adhesion on old suture line. Endoscopic findings during operation was helpful for making the diagnosis of adhesion related mesenteric varices and the choice of modalities of operation.View full abstractDownload PDF (6337K) -
Hideo TOMIOKA, Takanobu HAYAKUMO, Masatugu NAKAJIMA, Kenjirou YASUDA, ...1994 Volume 36 Issue 12 Pages 2463-2469_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe reported two cases of duodenal carcinoid tumor completely resected by endoscopic mucosal resection (EMR). The case 1 was a 56-year-old male who was noted to have a submucosal tumor in the duudenal bulb by a screening endscopy for healthy check-up. Biopsy taken by endoscopy showed the presence of carcinoid tumor. Endoscopic ultrasonography (EUS) with a miniature probe demonstrated the tumor, 4mm in size, located within the submucosal layer of the duodenum. EMR of this tumor was successfully accomplished without any complications. Resected specimens of this tumor histologically revealed a carcinoid tumor, 4×3×3mm in size, located within the submucosal layer of the duodenum. The case 2 was 62-year-old female who was pointed out to have a polypoid tumor in the second portion of the duodenum by a follow-up endoscopy after EMR for gastric adenoma. Endoscopic biopsy from the tumor showed the presence of a carcinoid tumor. Because the tumor seemed to be located within the submucosal layer and to be 5mm in size by EUS, EMR was applied. The resected specimen revealed a carcinoid tumor, 5×5×3mm in size, located within the submucosal layer of the second duodenum. Histologically, these two cases were so-called classical carcinoid tumors. In these two cases, there was no carcinoid invasion to the resected margins and tissue vessels. It is concluded that EMR is a safe and effective procedure for the treatment of such small carcinoid tumors in the duodenum.View full abstractDownload PDF (6802K) -
Shigekazu HAYASHI, Junichi KANO, Izumi SASANABE, Yoshihiro KAGA, Yoshi ...1994 Volume 36 Issue 12 Pages 2470-2473_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe case is a 61-year-old woman who was hospitalized for disturbance of consciousness. Renal abscess secondary to pyelonephritis were treated with CMZ for 5 days, CEZ for 26 days, LMOX for 10 days and AZT for 14 days. These treatment led to diarrhea (ten times a day) and pyrexia (37.7°C). Colonoscopy revealed yellow-white, hemispherically protuberated multiple pseudomembranes ranging from rectum to sigmoid colon, and stool culture was positive (+++) for Staphylococcus aureus and negative for C. difficile DI toxin. Administration of VCM led to disappearance of diarrhea. However, 4 months later, diarrhea reappeared 7 days following administration of PIPC because of urinary-tract infection. Colonoscopy revealed recurrence of small pseudomembranes all over large intestine. Stool was negative for C. difficile DI toxin, and stool culture was positive (+++) for Staphylococcus aureus and methicillin-resistant, indicating MRSA. This is the 6th reported case in Japan, in which MRSA was detected in pseudomembranous colitis.View full abstractDownload PDF (2583K) -
Fumika ORII, Motoyuki OHHIRA, Akinori MATSUMOTO, Etsuro SHOJI, Masumi ...1994 Volume 36 Issue 12 Pages 2474-2481
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 38-year-old woman was admitted for the therapy of esophageal varices in June 1989. Laparoscopic examination demonstrated the mild undulation of the liver surface. No evidence of viral hepatitis or liver cirrhosis was observed. Histological examination of the liver biopsy specimen demonstrated the findings consistent with idiopathic portal hypertension without hepatitis and cirrhosis of the liver. Endoscopic injection sclerotherapy was performed for the therapy of the varices. In October 1992 recurrence of esophageal varices was observed and she was admitted again. Computed tomography revealed the atrophy of right hepatic lobe and the hypertrophy of left hepatic lobe with marked splenomegaly. Laparoscopic examination showed remarkable undulation of the liver surface and regenerative nodule formation. In idiopathic portal hypertension the development of the morphological changes of the liver is rarely reported. This is a significant case in whom the changes of the liver lesions were clearly demonstrated by computed tomography and laparoscopy.View full abstractDownload PDF (6187K) -
Tsutomu NOMURA, Tetuo ARAKAWA, Hiroyuki ITOU, Mitiyo TANAKA, Hiroki KA ...1994 Volume 36 Issue 12 Pages 2482-2487_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 70-year-old woman was admitted to our hospital for further examination of epigastralgia from unknown origin. No physical abnormality was found except pain by pressure in epigastrium. Laboratory findings showed slight increase in WBC and eosinophils of peripherial blood, evidence of mild inflammation, and elevation of urine amylase level. ERCP showed f ilamentous radiolucent area in dilated common bile duct. Ultrasonography also showed dilatation of the duct and echogenic strips with an anechoic inner line. From the characteristics of these findings, it was diagnosed as biliary ascariasis. Medical therapy was done, but was not effective. Percutaneous transhepatic cholangio-drainage was performed because acute cholecystitis with obstructive jaundice was occurred then. After improvement of the symptoms, cholangioscopy was done through the PTC root and the parasite was completely removed through the endoscopy. The parasite was determined as a female worm of Ascaris lumbricoides by serological test and the evidence that it had eggs in its uteri. Biliary ascariasis is getting rare with the marked decrease of incidence of ascariasis. This case is important not only because this is rare but also because the parasite is successfully removed through endoscopy.View full abstractDownload PDF (5965K) -
Shingo MAGI, Matsuhei TANAKA, Yasuhiko TATSUZAWA, Takuhisa KAWAKAMI, K ...1994 Volume 36 Issue 12 Pages 2488-2492_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSLaparoscopic operation "Nissen f undoplication" was performed for a 73-year-old woman with esophageal hiatus hernia, who had complaint of swallowing disturbance for 5 years. She had accepted laparoscopic operation because of unresponsive to medication. Operation was carried out with laparoscopic method including intra-abdominal suturing and ligation technique. At the postoperative X-ray study, regurging sign was diminished and on the 19th day after operation, she discharged without symptoms and medication . Our experience is the first report in Japan, all procedures were performed and accomplished under laparoscopic control. Laparoscopic Nissen fundoplication was thought to be exellent due to postoperative painless, short stay and therapeutic efficacy .View full abstractDownload PDF (5526K) -
Yoshiyuki ITOH, Chizu KITAMURA, Mitsushige SHIBATOUGE, Seiji SHIMIZU, ...1994 Volume 36 Issue 12 Pages 2493-2498_1
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe utility of a new sonde-type enteroscope, SSIF-10 (Olympus) which has a biopsy channel, was examined. Twelve examinations were performed with this instrument in 11 cases. The scope could be inserted into the site of lesion in eight out of the series ; the diagnosis of intestinal adhesion was made in one, and that of Crohn's disease in three. In two cases, endoscopic observation was insufficient. The other two cases were endoscopically normal. The scope could not reach the site of lesion in four examinations in three cases. Biopsy under endoscopic observation was performed in three cases, and the histological examination revealed only nonspecific inflammation. The development of this instrument has enabled us to perform biopsy even with sonde-type enteroscope . However, the specimens tend to be small and destructed. The disadvantage is expected to be conquered by obtaining many specimens. In conclusion, SSIF-10 was considered to be useful for the diagnosis of disease of the small intestine.View full abstractDownload PDF (6785K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1994 Volume 36 Issue 12 Pages 2501-2508
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (4249K) -
1994 Volume 36 Issue 12 Pages 2509-2535
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (9315K) -
1994 Volume 36 Issue 12 Pages 2536-2558
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (3737K) -
1994 Volume 36 Issue 12 Pages 2559-2626
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (11101K) -
[in Japanese], [in Japanese], [in Japanese], [in Japanese]1994 Volume 36 Issue 12 Pages 2634-2635
Published: December 20, 1994
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (256K)
- |<
- <
- 1
- >
- >|