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Volume 38, Issue 7
Displaying 1-19 of 19 articles from this issue
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Shiro NAKAMURA, Kiyotaka OKAWA, Junichi HARA, Yoshihisa WATANABE, Masa ...1996 Volume 38 Issue 7 Pages 1481-1487
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSMost of patients with acute hemmorhagic rectal ulcer (AHRU) are bedridden. In order to examine the etiology of AHRU, blood flow in the mucosa of the upper and lower rectum was measured by the laser-doppler method in 11 patients with AHRU and 11 control subjects. The effect of changing from the lateral position to the horizontal supine position on the blood flow was examined. No difference in the mucosal flow in the upper or lower rectum was observed between the two groups at the lateral position. However, by changing the position from lateral to supine, significant decrease in the mucosal blood flow up to 16.6±11.8% was observed only in the lower rectum of the AHRU group. This result that the site of significant decrease in the mucosal blood flow caused by changing lying position coincided with the region susceptible to AHRU, the lower rectum, suggests an important role of the persistent horizontal supine position in the development of AHRU in bedridden patients.View full abstractDownload PDF (725K) -
Tsuneya NAKAMURA, Takashi SUZUKI, Seibi KOBAYASHI, Shigeo NAKAMURA, Ya ...1996 Volume 38 Issue 7 Pages 1488-1499
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe relationship between primary low-grade B-cell gastric lymphoma of mucosa-associated lymphoid tissue type (MALT lymphoma) and Helicobacter pylori (Hp) was investigated in 7 patients with MALT lymphoma diagnosed by endoscopic biopsy. Hp was positive in culture of biopsied specimens in 6 of 7 patients and the other Hpnegative patient showed the elevated titers of anti-Hp antibody IgG in the serum. All patients were treated with omeprazole and roxythromycin for 14 days and only omeprazole for the following 14 days. In a mean follow-up period 17.2 months after antibiotic therapy, Hp was confirmed to be negative in 5 patients but remained positive in 2 patients. In the Hpnegative patients, endoscopic findings were improved with the healing of erosions and ulcers, and the disappearance of mucosal cobblestone pattern. Tumor cells were also histologically decreased. One patient in whom Hp was positive again 3 months after antibiotic therapy got worsen on endoscopic and histologic findings. In this case, antibiotic therapy was started again and 6 months after the first antibiotic therapy, Hp was confirmed to be negative with the improvement of endoscopic and histological findings. In a patient with negative Hp culture and positive 13C-urea breath test after antibiotic therapy, endoscopic findings were not so changed but histological findings were improved. These results suggested that the amount or infection density of Hp may have a close relationship with growth of primary gastric MALT lymphoma and Hp seems to have some influence on the pathogenesis or growth of primary gastric MALT lymphoma. Longer follow-up is needed for further clarification of the relationship between Hp and gastric MALT lymphoma.View full abstractDownload PDF (13544K) -
Hironao MIYOSHI, Saburo NAKAZAWA, Kenji YAMAO, Junji YOSHINO, Kazuo IN ...1996 Volume 38 Issue 7 Pages 1501-1510
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA series of 40 cases of biliary system disease were studied by intraductal ultrasonography. The transhepatic approach was adopted for 23 cases, and access was transpapillary in the remaining 17. Of the latter, 14 were post EST and 3 were non-EST. A normal appearing cystic duct, with a circular or almost circular pipe structure and lumen, was imaged in 23 cases. Of these, 9 (39.2%) demonstrated three layers and in the remaining 14 (60.8%) single layer was observed. In the 17 cases with cystic duct disease, 16 (94.1%) could be visualized, and the approach was found to be particularly useful for differentiating stones and tumors. Since 14 of the 17 cases exhibited negative ERCP findings for the gallbladder, this intraductal ultrasonography was concluded to be a very useful diagnostic method for such patients.View full abstractDownload PDF (11887K) -
Norihiro HAMAMOTO, Hisanobu TOMIMATSU, Syoichi SAITO, Heizaburo ICHIKA ...1996 Volume 38 Issue 7 Pages 1511-1515_1
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSWe report three cases of the ectopic sebaceous glands in the esophagus diagnosed by panendoscopy and biopsy. Each cases showed multiple, minute, jellowish and grannular elevated lesions endoscopically at the middle esophagus and diagnosed by histological examination of endoscopic biopsies. Esophagogram revealed multiple marginal filling defect with barium fleck. In 1978, Remakrishnan reported the first cases in which the ectopic sebaceous glands were observed endoscopically. It had been reported 29 cases of the ectopic sebaceous glands in Japan. We consider that the incidence of the ectopic sebaceous glands in the esophagus is not rare and the detection will be increased if we perform endoscopy carefully.View full abstractDownload PDF (6605K) -
Masahide ATSUMI, Yoshio NAKAGAWA, Katsuhisa KAWAMOTO, Hiroshi UEHIRA, ...1996 Volume 38 Issue 7 Pages 1516-1523
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSAn endoscopically resected case of the gastric hyperplastic polyp with malignant transformation into signet ring cell type carcinoma is reported. A 58-year-old male, who had a past history of subtotal gastrectomy for gastric ulcer 11 years earlier, visited our hospital because of epigastic discomfort. Endoscopic examination revealed a semipedunculated polyp on the anterior wall of the fornix in the remnant stomach, while the biopsied material disclosed signet ring cell type carcinoma. With this histological evidence, we decided to perform endoscopic resection for the lesion. Grossly, the polyp was completely resected including the normal mucosa at the resected margin. Histological examination demonstrated hyperplastic polyp with inclusion of a cluster of signet ring cell type carcinoma cells in the central part. The ulcer consequent to endoscopic resection was healed 3 months later, and there was no sign of local recurrence during follow-up period of 8 months.View full abstractDownload PDF (7203K) -
Kazuhiro MORI, Ryuichi AKIMOTO, Masahiro KANNO, Toru KAMATA, [in Japan ...1996 Volume 38 Issue 7 Pages 1524-1528_1
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSAfferent loop syndrome after gastrectomy and Billroth II reconstructon is an uncommon problem. Especially, acute afferent loop syndrome requires emergent treatment. We presented a patient who developed acute abdominal pain, marked hyperamylasemia 12 years after Eillroth II gastrectomy. Abdominal computed tomography revealed a marked dilated afferent loop and he was diagnosed to have acute afferent loop syndrome. Emergent upper GI endoscopy was performed. Endoscope could be entered the afferent loop and the color of duodenal mucosa was normal. After endoscopy, these symptoms were improved and the dilatation of the afferent loop disappeared. It is considered that emergent endoscopy is a useful method for the diagnosis and treatment of afferent loop syndrome.View full abstractDownload PDF (5434K) -
Kiyotaka OKAWA, Shinya TANIMURA, Eiji KIMURA, Hiroko OHBA, Tetsuya AOK ...1996 Volume 38 Issue 7 Pages 1529-1534_1
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSThe patient was a 69-year-old male who had undergone emergency operation for rupture of an abdominal aortic aneurysm. After the operation, abdominal distension persisted, leucocytosis, jaundice, and paralytic ileus appeared. The patient was referred to our department on the 9th postoperative day. Since enema study using Gastrographin revealed leakage of the contrast medium from the intestine, emergency operation was performed. The ischemic lesion extended from the rectum to the descending colon, and the full layer of the intestine was necrotized in the center of the lesion. The patient was already septic at the time of operation, but he survived and had an uneventful postoperative course.View full abstractDownload PDF (5402K) -
Hiroki TOHYAMA, Toyotsugu SERIZAWA, Yasuo FUKUNISHI, Makoto KOHNO, Yos ...1996 Volume 38 Issue 7 Pages 1535-1540_1
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 51-year-old male was admitted to our hospital complaining of tarry stool and epigastralgia. Findings on abdominal ultrasonography and computed tomography were compatible with those of liver cirrhosis and multiple space occupying lesions in the bilateral lobes. Hemorrhagic ulcer with hematoma and marginal elevation were seen in the duodenal bulb on endoscopy. The biopsy specimen repeatedly taken from the ulcer bottom revealed moderately differentiated hepatocellular carcinoma. Duodenal invasion was rapidly enlarged. Therefore it's appearance changed from small Borrmann 2 type to small Borrmann 1 during the two months after admission. He needed large amount of transfusion for bleeding from invasional ulcer. Abdominal angiography showed large tumor stain spreaded to duodenum and transarterial chemolipiodolization and embolization by spongel of left hepatic artery was performed on the 70th hospital days for the purpose of hemostasis. Soon after, tarry stool was disappeared and we carried out no transfusion. His cachexia was progressed and gradually died on the 110th hospital days. Reports on serial endoscopic findings of duodenal invasion from hepatocellular carcinoma and successful treatment by TAE for bleeding from invasional ulcer, we are few in number, and therefore our report may be valuable from these aspects.View full abstractDownload PDF (2697K) -
Michiyasu YAGURA, Daijirou IGA, Tetsuya MOMOSE, Youko MITSUHASHI, Hiro ...1996 Volume 38 Issue 7 Pages 1543-1547_1
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 41 year-old man was admitted to our hospital because of a large amount of hematoemesis. Peritoneoscopic examination showed atrophy of the right lobe and macronodules and potatolike formation in the left lobe of the liver, and diffuse bluish purple tiny spots on the both lobes of the liver. The pressure of the portal vein was 430mm H2O. On histology, there were rounded configuration with conspicuous fibrosis in the portal area and no pseudolobular formations nor necroinf lammatory changes. Serial sections of wedge biopsy also disclosed the communications among the subcapsular peliosis hepatis, intralobular abnormal pathway and portal vein. These findings are consistent with idiopathic portal hypertension. To our knowledge, only two cases of idiopathic portal hypertension asssociated with peliosis hepatic have been reported in the literature. However, this is the first report of the communication between the subcapsular peliosis hepatis and intralobular abnormal pathway.View full abstractDownload PDF (8918K) -
Yusuke MIZUKAMI, Kuniyuki TAKAHASHI, Satoshi ARISATO, Jiro WATARI, Hit ...1996 Volume 38 Issue 7 Pages 1548-1554
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSA 74-year-old man was admitted to our hospital for evaluation of slight abnormality of liver function test and intrahepatic bile duct dilatation in left hepatic lobe. Endoscopic retrograde cholangiography revealed biliary stricture (B3), percutaneous transhepatic cholangioscopy (PTCS) showed granular -appearance, easy bleeding and irregular elevated mucosa at the biliary stricture. Moreover, thickening of the bile duct wall was detected by miniture sonographicprobe. Although histological evidence of malignancy was not obtained, cholangiocellular carcinoma (CCC) was highly suspected from the findings of PTCS. Left lobe hepatectomy was performed and postoperative diagnosis was periductal infiltrating type CCC with minimal invasion to hepatic lobule. PTCS is useful for the diagnosis of early stage of CCC, especially in cases with mucosal and/or submucosal change of bile duct, and must be performed to clarify the extent of disease before surgical operation.View full abstractDownload PDF (6976K) -
Hirohumi NIWA1996 Volume 38 Issue 7 Pages 1557-1558
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (239K) -
Gregory Van Stiegmann1996 Volume 38 Issue 7 Pages 1559-1563
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (5087K) -
N. Soehendra1996 Volume 38 Issue 7 Pages 1564
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (73K) -
Norman E. Marcon1996 Volume 38 Issue 7 Pages 1565
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (90K) -
Hiroaki SUZUKI1996 Volume 38 Issue 7 Pages 1566-1568
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (314K) -
Hiroyasu MAKUUCHI1996 Volume 38 Issue 7 Pages 1569-1571
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (243K) -
Michio TANAKA1996 Volume 38 Issue 7 Pages 1572-1574
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (1741K) -
Takeshi Miwa1996 Volume 38 Issue 7 Pages 1575-1576
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (223K) -
1996 Volume 38 Issue 7 Pages 1577-1633
Published: July 20, 1996
Released on J-STAGE: May 09, 2011
JOURNAL FREE ACCESSDownload PDF (19689K)
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